| NPI | 1053487462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM WALTER HANCOCK Owner/Md 229-391-9980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 047089) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 047089) | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2026-02-27 |