Hancock Medical Center

Organization Active NPI Family Medicine Physician · Pass Christian, MS

NPI 1356672166 · NPPES record last updated Mar 16, 2010

Key facts

NPI
1356672166
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
License
11217 (MS)
Legal business name
HANCOCK MEDICAL CENTER
Practice address
17000 Kapalama Dr
Pass Christian, MS 39571-9761
Phone
(228) 467-8700
Fax
(228) 467-8799
NPI assigned
Jan 18, 2010
Organization subpart
No

Authorized official

Name
Mr. Donald L Wade, CPA
Title
Chief Financial Officer
Phone
(228) 467-8700

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X 11217 MS Yes

Addresses

Primary practice location

17000 Kapalama Dr
Pass Christian, MS 39571-9761

Mailing address

PO Box 2790
Bay St Louis, MS 39521-2790
Phone (228) 467-8700

Other names

  • Hancock Medical Walk-In Care Doing business as

Other providers in Pass Christian, MS

All providers in Pass Christian, MS · Family Medicine Physician in Mississippi

Sources for this page

Verify at the official NPI Registry.