Organization
HITCHCOCK FAMILY MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW RAY HITCHCOCK MD (OWNER)
(423) 763-1942
Entity
Organization
Contact information
Practice address
5104 HIXSON PIKE, HIXSON, TN 37343-3932
(423) 763-1942
Mailing address
5104 HIXSON PIKE, HIXSON, TN 37343-3932
(423) 763-1942
(423) 763-1842
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
03/09/2021
Last updated
07/26/2024
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