| NPI | 1245581768 |
|---|---|
| Doing Business As | HANCOCK MEDICAL HEALTH SERVICES - BWSD |
| Entity Type | Organization |
| Authorized Contact | GUY KEN SMITH Director Operations 985-898-7091 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS 11-214) |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2013-12-10 |