Organization
HANCOCK VEIN & SURGICAL CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN MARIE HANCOCK MD (PRESIDENT)
(910) 612-5118
Entity
Organization
Contact information
Practice address
603 PILOT HOUSE DR, STE 240, NEWPORT NEWS, VA 23606
(757) 873-0138
(757) 873-0246
Mailing address
119 JAMES LANDING RD, NEWPORT NEWS, VA 23606-2052
(910) 612-5118
(757) 873-0246
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
0101242791
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942491790
—
VA
Enumeration date
02/25/2011
Last updated
04/06/2021
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