Organization
TIFTAREA CARDIOLOGY
Active
Organization
TIFTAREA CARDIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM WALTER HANCOCK MD (OWNER/MD)
(229) 391-9980
Entity
Organization
Contact information
Practice address
907 E. 18TH ST, STE 100, TIFTON, GA 31794
(229) 391-9980
(229) 391-9984
Mailing address
907 E. 18TH ST, STE 100, TIFTON, GA 31794
(229) 391-9980
(229) 391-9984
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
047089
GA
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
047089
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000701269F
—
GA
01
—
256355379
TRICARE
GA
01
—
945232
BCBS
GA
01
—
CG8763
RAILROAD MEDICARE
GA
Enumeration date
11/28/2006
Last updated
02/27/2026
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