Doctor Name: | PATRICIA HANCOCK |
NPI Number: | 1508279233 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | D1497 |
Business Practice Address: | 1124 Oakleigh Rd Ocean Springs, MS - 395645716 |
Business Phone Number: | 2288753778 |
Business Fax Number: | |
Mailing Address: | 2525 Telephone Rd, PASCAGOULA |
State: | MS |
Postal Code: | 395673202 |
Phone Number: | 2287624483 |
Fax Number: | 2287690406 |
NPI Enumeration Date: | 06/10/2014 |
NPI Last Update Date: | 06/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | D1497 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |