Individual
ADDIE MOORE HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
MEDICAL CENTER BOULEVARD, WINSTON SALEM, NC 27157-0001
(336) 716-2011
Mailing address
9126 HIGHWAY 11 W, MOORESBURG, TN 37811-2314
(828) 335-2305
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/23/2021
Last updated
04/23/2021
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