Individual
MISS LINDA GAIL HANCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
120 N LAKE DR, LEXINGTON, SC 29072-2836
(803) 808-1717
Mailing address
155 WHISPERING WINDS DR, LEXINGTON, SC 29072
(803) 808-9556
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
M69459
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APN30
SC LIC. #
SC
01
—
M30
PRESCR. AUTHORITY #
SC
Enumeration date
10/19/2006
Last updated
03/07/2023
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