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Individual

DR. MICHAEL GEORGE HITCHCOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.B.CH.B., MBA

Contact information

Practice address
1900 S HAWTHORNE RD, SUITE 366, WINSTON SALEM, NC 27103-3913
(336) 760-1388
(336) 760-1398
Mailing address
PO BOX 100559, FLORENCE, SC 29501-0559
(843) 664-4300
(843) 664-4308

Taxonomy

Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
9300150
NC
207ZP0101X
Anatomic Pathology Physician
Primary
9300150
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10733
PARTNERS
NC
05
216029000
WV
01
42619
BCBS
NC
01
5178126
AETNA
NC
05
6601171
VA
05
8942619
NC
01
98672
MEDCOST
NC
05
Q00150
SC
Enumeration date
02/14/2006
Last updated
04/11/2014
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