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NPI Code Detail

MEDICARE: DR. LINDSAY L. HATHCOCK JR. D.C.

MEDICARE: DR. LINDSAY L. HATHCOCK JR. D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorDC487TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407850951
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LINDSAY L. HATHCOCK JR. D.C.
Provider Business Mailing Address
First Line : PO BOX 1
Second Line :
City : CLEVELAND
State : TN
Zip : 37364-0001
Country : US
Telephone Number : 423-472-0606
Fax Number : 423-476-1262
Provider Business Practice Location Address
First Line : 423 CENTRAL AVE NW
Second Line :
City : CLEVELAND
State : TN
Zip : 37311-4923
Country : US
Telephone Number : 423-472-0606
Fax Number : 423-476-1262
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2005
Last Update Date : 07/08/2007

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