Hancock, Amy Rose

Hancock, Amy Rose is an individual health care provider with primary practice located at 4900 Oleander Dr Suite # 1, Myrtle Beach SC 29577-5897. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Hancock, Amy Rose can be contacted via phone (864) 343-2609.

Contact Information

Primary practice address
4900 Oleander Dr Suite # 1 Myrtle Beach SC 29577-5897
Phone: (864) 343-2609
Fax: (864) 546-4506
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X OA002612 Pennsylvania

Profile Details

NPI number 1346350089
LBN Legal business name Hancock, Amy Rose
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jun 2nd, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346350089 NPPES
South Carolina Other 2433 SOUTH CAROLINA MEDICAL LICENSE
South Carolina Other PN084501L SOUTH CAROLINA MEDICAL LICENSE

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