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NPI Code Detail

MEDICARE: DELANEY HITCHCOCK

MEDICARE:   DELANEY  HITCHCOCK
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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1972160869
Entity Type Code : Individual
Provider Name (Legal Business Name) : DELANEY HITCHCOCK
Provider Business Mailing Address
First Line : 314 SOUTH BLVD
Second Line :
City : CARROLLTON
State : GA
Zip : 30117-3744
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2327 N HIGHWAY 27
Second Line :
City : CARROLLTON
State : GA
Zip : 30117-6701
Country : US
Telephone Number : 770-834-4404
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2019
Last Update Date : 05/26/2019

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Directions to “ DELANEY HITCHCOCK ” Practice Location

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