Organization
HANCOCK MEDICAL CENTER
Active
Other names
Hancock Medical Walk-In Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD L WADE CPA (CHIEF FINANCIAL OFFICER)
(228) 467-8700
Entity
Organization
Contact information
Practice address
17000 KAPALAMA DR, PASS CHRISTIAN, MS 39571-9761
(228) 467-8700
(228) 467-8799
Mailing address
PO BOX 2790, BAY ST LOUIS, MS 39521-2790
(228) 467-8700
(228) 467-8799
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11217
MS
Other
Enumeration date
01/18/2010
Last updated
03/16/2010
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