Hancock, William Walter

Hancock, William Walter is an individual health care provider with primary practice located at 907 E 18Th Street Ste 100, Tifton GA 31794-3600. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Hancock, William Walter can be contacted via phone (229) 391-9980.

Contact Information

Primary practice address
907 E 18Th Street Ste 100 Tifton GA 31794-3600
Phone: (229) 391-9980
Fax: (229) 391-9984
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 047089 Georgia
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 047089 Georgia

Profile Details

NPI number 1265423339
LBN Legal business name Hancock, William Walter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Nov 9th, 2011 - about 14 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 1265423339 NPPES
Georgia MEDICAID 000701269F
Georgia MEDICAID 00701269F

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