Individual
GLENN PAUL HITTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 GENTILLY BLVD, CARTERSVILLE, GA 30120-8522
(770) 382-2580
(770) 386-7910
Mailing address
221 TECHNOLOGY PKWY NW, ROME, GA 30165-1369
(762) 235-1000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
034159
GA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
034159
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000457564B
—
GA
Enumeration date
12/13/2006
Last updated
02/01/2019
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