Individual
CRYSTAL L HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12978 NORTH MAIN STREET, TRENTON, GA 30752
(706) 657-4183
(706) 657-4270
Mailing address
12978 NORTH MAIN STREET, TRENTON, GA 30752
(706) 657-4183
(706) 657-4270
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN213708
GA
Other
Enumeration date
02/20/2014
Last updated
10/19/2015
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