Individual
DR. JOHN G. HANCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
165 SCOTT AVE, SUITE 100, MORGANTOWN, WV 26508-8847
(304) 554-0400
(304) 554-0404
Mailing address
125 N 6TH ST, CLARKSBURG, WV 26301-2665
(304) 624-7200
(304) 554-0404
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
22486
WV
207N00000X
Dermatology Physician
A90075
CA
207N00000X
Dermatology Physician
MD430086
PA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
22486
WV
207ND0101X
MOHS-Micrographic Surgery Physician
MD430086
PA
207NS0135X
Procedural Dermatology Physician
22486
WV
207NS0135X
Procedural Dermatology Physician
MD430086
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102138838
—
PA
05
—
3810006177
—
WV
Enumeration date
01/05/2006
Last updated
01/23/2015
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