Individual
DR. GROVER WADE HANKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5647 HIGHWAY 80 E, SUITE 4, PEARL, MS 39208-8907
(601) 936-6108
(601) 936-6109
Mailing address
5647 HIGHWAY 80 E, SUITE 4, PEARL, MS 39208-8907
(601) 936-6108
(601) 936-6109
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1974-82
MS
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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