| NPI | 1700195047 |
|---|---|
| Doing Business As | HANCOCK MEDICAL PASS CHRISTIAN |
| Entity Type | Organization |
| Authorized Contact | GUY KEN SMITH Director Operations 985-898-7091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 11217) |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2013-12-10 |