Individual
DR. RANDY HANKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
213 CALDWELL DR, HAZLEHURST, MS 39083-2711
(601) 894-4661
(601) 894-2514
Mailing address
213 CALDWELL DR, HAZLEHURST, MS 39083-2711
(601) 894-4661
(601) 894-2514
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9969
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012939
—
MS
01
—
426-04-6812A
BLUE CROSS
MS
Enumeration date
09/05/2006
Last updated
07/10/2013
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