Hancock Family Medicine

LBN: Hancock Family Medicine
Hancock Family Medicine is an health care organization with primary practice located at 5400 Indian Hill Blvd , Diamondhead MS 39525-3334. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Hancock Family Medicine can be contacted via phone (228) 586-9229, or through Kellum, Ronald via phone (228) 586-9229.

Contact Information

Primary practice address
5400 Indian Hill Blvd Diamondhead MS 39525-3334
Phone: (228) 586-9229
Fax: (228) 586-9230
Website:
Map and Directions
Authorized official contact:
Name: Kellum, Ronald Doctor of Medicine (MD)
Phone: (228) 586-9229

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1184732448
LBN Legal business name Hancock Family Medicine
DBA Doing business as
Authorized official Kellum, Ronald Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 28th, 2006
Last updated Nov 26th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184732448 NPPES
Mississippi Other C93454 MEDICARE ID

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