Basic Information
| Provider Information | |||||||||
| NPI: | 1245442466 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HITCHO | ||||||||
| FirstName: | EILEEN | ||||||||
| MiddleName: | BETH | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1000 BLYTHE BLVD. | ||||||||
| Address2: | MEB 3 | ||||||||
| City: | CHARLOTTE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 28203 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7043553658 | ||||||||
| FaxNumber: | 7043557047 | ||||||||
| Practice Location | |||||||||
| Address1: | 1000 BLYTHE BLVD. | ||||||||
| Address2: | MEB 3 | ||||||||
| City: | CHARLOTTE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 28203 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7043553658 | ||||||||
| FaxNumber: | 7043557047 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/03/2007 | ||||||||
| LastUpdateDate: | 04/12/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 140897 | NC | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.