Individual
MARK JOSEPH HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
135 MAPLE ST, BLDG A, DECATUR, GA 30030-3953
(706) 297-1510
(470) 575-2575
Mailing address
135 MAPLE ST, BLDG A, DECATUR, GA 30030-3953
(706) 297-1510
(470) 575-2575
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
67750
GA
Other
Enumeration date
04/10/2008
Last updated
07/06/2022
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