Organization
HANCOCK MEDICAL CENTER
Active
Parent organization
HANCOCK MEDICAL CENTER
Other names
Hancock Orthopedic Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
HANCOCK MEDICAL CENTER
Authorized official
MR. DONALD L WADE CPA (CHIEF FINANCIAL OFFICER)
(228) 467-8700
Entity
Organization
Contact information
Practice address
4540 SHEPHERD SQUARE, SUITE C, DIAMONDHEAD, MS 39525
(228) 255-8526
(228) 255-8527
Mailing address
P.O. BOX 2790, BAY SAINT LOUIS, MS 39521-2790
(228) 467-8700
(228) 467-8799
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
01/17/2008
Last updated
10/08/2009
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