Individual
DR. CHARLES L HITCHCOCK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-8983
Mailing address
2396 HAVERFORD RD, COLUMBUS, OH 43220-4322
(614) 326-2006
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35-06-4903-H
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0934878
—
OH
Enumeration date
06/14/2006
Last updated
07/08/2007
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