Doctor Name: | MS. SUSAN HENRY HANCOCK |
NPI Number: | 1457534844 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | R67744 |
Business Practice Address: | 1738 Clark Hills Cir Johns Island, SC - 294557605 |
Business Phone Number: | 8435597931 |
Business Fax Number: | |
Mailing Address: | 1738 Clark Hills Cir, JOHNS ISLAND |
State: | SC |
Postal Code: | 294557605 |
Phone Number: | 8435597931 |
Fax Number: | |
NPI Enumeration Date: | 12/09/2007 |
NPI Last Update Date: | 12/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WM0705X |
License Number: | R67744 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Medical-Surgical |
Taxonomy Definition: |