Individual
KATIE GOULD HANCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
935 SHOTWELL RD, SUITE 108, CLAYTON, NC 27520-5597
(919) 550-0821
(919) 882-9570
Mailing address
107 W HARGETT ST, RALEIGH, NC 27601-1700
(919) 550-0821
(919) 882-9570
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-06210
NC
363AM0700X
Medical Physician Assistant
0010-06210
NC
Other
Enumeration date
01/29/2016
Last updated
08/29/2025
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