Individual
PATRICIA HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1124 OAKLEIGH RD, OCEAN SPRINGS, MS 39564-5716
(228) 875-3778
Mailing address
2525 TELEPHONE RD, PASCAGOULA, MS 39567-3202
(228) 762-4483
(228) 769-0406
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D1497
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D1497
MS LICENSE NUMBER
—
Enumeration date
06/10/2014
Last updated
06/10/2014
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