| NPI | 1629380142 |
|---|---|
| Doing Business As | HANCOCK MEDICAL PASS CHRISTIAN |
| Entity Type | Organization |
| Authorized Contact | DONALD L WADE Chief Financial Officer 228-467-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 11217) |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2010-07-13 |