Organization
HANCOCK MEDICAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEN SMITH MBA (DIRECTOR OF OPERATIONS)
(985) 898-7079
Entity
Organization
Contact information
Practice address
5435 GEX ROAD, DIAMONDHEAD, MS 39525
(228) 467-8676
(228) 467-8674
Mailing address
149 DRINKWATER BLVD., BAY ST. LOUIS, MS 39520
(228) 467-8676
(228) 467-8674
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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