NPI | 1730425802 |
---|---|
Doing Business As | HANCOCK FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | GUY KEN SMITH Director Operations 985-898-7091 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2012-12-18 |
Last Update Date | 2014-04-30 |