Provider Demographics
NPI:1255327557
Name:HITCHCOCK, SCOTT CHRISTOPHER (DO)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:CHRISTOPHER
Last Name:HITCHCOCK
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:185 CHATEAU DR SW STE 301
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-7413
Mailing Address - Country:US
Mailing Address - Phone:256-533-4402
Mailing Address - Fax:256-551-1902
Practice Address - Street 1:185 CHATEAU DR SW STE 301
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-7413
Practice Address - Country:US
Practice Address - Phone:256-533-4402
Practice Address - Fax:256-551-1902
Is Sole Proprietor?:No
Enumeration Date:2005-09-22
Last Update Date:2020-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALDO8482084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51523310Medicaid
51523310Medicare ID - Type Unspecified
AL51523310Medicaid