Organization
HANCOCK MEDICAL CENTER
Active
Parent organization
HANCOCK MEDICAL CENTER
Other names
Brian Anthony M.D. Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
HANCOCK MEDICAL CENTER
Authorized official
MR. DONALD L WADE CPA (CHIEF FINANCIAL OFFICER)
(228) 467-8700
Entity
Organization
Contact information
Practice address
952 GREEN MEADOW RD, BAY ST LOUIS, MS 39520-1620
(228) 467-1386
(228) 467-1770
Mailing address
PO BOX 2790, BAY ST LOUIS, MS 39521-2790
(228) 467-8600
(228) 467-8799
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
11214
MS
Other
Enumeration date
06/18/2009
Last updated
10/14/2009
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