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Organization
HANCOCK MEDICAL HEALTH SERVICES, INC.
Active
Organization
HANCOCK MEDICAL HEALTH SERVICES, INC.
Active
Other names
Hancock Medical Orthopedic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GUY KEN SMITH MBA (DIRECTOR OPERATIONS)
(985) 898-7091
Entity
Organization
Contact information
Practice address
4540 SHEPHERD SQ, DIAMONDHEAD, MS 39525-3325
(228) 255-8526
(228) 255-8527
Mailing address
PO BOX 2790, BAY ST LOUIS, MS 39521-2790
(228) 467-8700
(228) 467-8799
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
11217
MS
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
MS
Other
Enumeration date
09/27/2010
Last updated
04/30/2014
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