Organization
HANCOCK MEDICAL HEALTH SERVICES, INC.
Active
Parent organization
HANCOCK MEDICAL CENTER
Other names
Hancock Medical Health Services - HCSD
Organization subpart
Yes
Provider details
NPI number
Legal business name
HANCOCK MEDICAL CENTER
Authorized official
MR. GUY KEN SMITH MBA (DIRECTOR OPERATIONS)
(985) 898-7091
Entity
Organization
Contact information
Practice address
6122 CUEVAS TOWN ROAD, KILN, MS 39556
(228) 255-7896
(228) 255-5249
Mailing address
149 DRINKWATER BLVD., BAY ST LOUIS, MS 39520
(228) 467-8676
(228) 467-5597
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11-214
MS
Other
Enumeration date
09/24/2012
Last updated
12/10/2013
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