Individual
DR. WILLIAM WALTER HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
907 E 18TH STREET, STE 100, TIFTON, GA 31794-3600
(229) 391-9980
(229) 391-9984
Mailing address
907 E 18TH ST, STE 100, TIFTON, GA 31794
(229) 391-9980
(229) 391-9984
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
047089
GA
207RC0000X
Cardiovascular Disease Physician
Primary
047089
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000701269F
—
GA
05
—
00701269F
—
GA
Enumeration date
10/28/2005
Last updated
11/09/2011
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