| Organization Name: | HANCOCK WOMENS CENTER PA |
| NPI Number: | 1831360098 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TERESA R YARBOROUGH (OFFICE MANAGER) |
| Mailing Address: | 1009 Benigno Lane Bay St Louis |
| State: | MS US |
| Postal Code: | 39520 |
| Phone Number: | 2284672555 |
| Fax Number: | 2284675480 |
| NPI Enumeration Date: | 03/17/2008 |
| NPI Last Update Date: | 01/04/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |