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NPI Code Detail

MEDICARE: HUGH CHATHAM MEMORIAL HOSPITAL, INC

MEDICARE: HUGH CHATHAM MEMORIAL HOSPITAL, INC
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
1207X00000XOrthopaedic Surgery Physician

General Provider Information

NPI Number : 1275812273
Entity Type Code : Organization
Provider Name (Legal Business Name) : HUGH CHATHAM MEMORIAL HOSPITAL, INC
Provider Business Mailing Address
First Line : 400 JOHNSON RIDGE MEDICAL PARK
Second Line :
City : ELKIN
State : NC
Zip : 28621-2447
Country : US
Telephone Number : 336-835-0300
Fax Number : 336-527-7189
Provider Business Practice Location Address
First Line : 400 JOHNSON RIDGE MEDICAL PARK
Second Line :
City : ELKIN
State : NC
Zip : 28621-2447
Country : US
Telephone Number : 336-835-0300
Fax Number :
Authorized Official
Title or Position : CHIEF PRACTICE OFFICER
Name : MRS. MARY FRANCES BLACKBURN
Credential :
Telephone Number : 336-527-7463
Provider Enumeration Date : 08/08/2011
Last Update Date : 09/26/2013

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Directions to “HUGH CHATHAM MEMORIAL HOSPITAL, INC ” Practice Location

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