Organization
HANCOCK WOMENS CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA R YARBOROUGH (OFFICE MANAGER)
(228) 467-2555
Entity
Organization
Contact information
Practice address
1009 BENIGNO LANE, BAY ST LOUIS, MS 39520
(228) 467-2555
(228) 467-5480
Mailing address
PO BOX 2778, BAY ST LOUIS, MS 39520
(228) 467-2555
(228) 467-5480
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015700
—
MS
Enumeration date
03/17/2008
Last updated
01/04/2011
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