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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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