Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | CH0004314 | FL |
NPI | 1073657532 |
---|---|
Provider Name | Tui S Hitchcock |
First Address | Tallahassee, FL 32301-4876 |
Second Address | Tallahassee, FL 32301-4876 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2007 |
Last Update Date | 08/07/2007 |