Individual
COURTNEY HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7777 HENNESSY BLVD STE 1008, BATON ROUGE, LA 70808-4368
(225) 766-0416
(225) 769-9212
Mailing address
7777 HENNESSY BLVD STE 8001, BATON ROUGE, LA 70808-4300
(225) 490-7224
(225) 490-7223
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
309868
LA
363AS0400X
Surgical Physician Assistant
—
LA
Other
Enumeration date
06/12/2018
Last updated
03/23/2021
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