# HANCOCK MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hancock Medical Walk-In Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356672166
- **Authorized official:** MR. DONALD L WADE CPA (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (228) 467-8700

## Contact information

- **Practice address:** 17000 KAPALAMA DR, PASS CHRISTIAN, MS 39571-9761
- **Practice address phone:** (228) 467-8700
- **Practice address fax:** (228) 467-8799
- **Mailing address:** PO BOX 2790, BAY ST LOUIS, MS 39521-2790
- **Mailing address phone:** (228) 467-8700
- **Mailing address fax:** (228) 467-8799

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 11217 | MS | Yes |

## Other

- **Enumeration date:** 01/18/2010
- **Last updated:** 03/16/2010