Organization
HANCOCK MEDICAL CENTER
Active
Other names
Hancock Medical Pass Christian
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
517 C & D, W NORTH STREET, PASS CHRISTIAN, MS 39571
(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
363LF0000X
Family Nurse Practitioner
Primary
11217
MS
Other
Enumeration date
07/13/2010
Last updated
07/13/2010
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