Organization
HANCOCK MEDICAL HEALTH SERVICES, INC.
Active
Other names
Hancock Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GUY KEN SMITH MBA (DIRECTOR OPERATIONS)
(985) 898-7091
Entity
Organization
Contact information
Practice address
4433 LEISURE TIME DR., DIAMONDHEAD, MS 39525
(228) 586-9229
(228) 586-9230
Mailing address
149 DRINKWATER BLVD., BAY ST LOUIS, MS 39520
(228) 467-8676
(228) 467-8674
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
12/18/2012
Last updated
04/30/2014
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