Hancock Family Medicine
NPI #1184732448 in Diamondhead, Mississippi
Provider Information
- NPI Number
- 1184732448
- Entity Type
- Organization
- Organization Name
- Hancock Family Medicine
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 28, 2006
- Last Updated
- Nov 26, 2007
Practice Location
- Address
- 5400 INDIAN HILL BLVD
- City
- Diamondhead
- State
- Mississippi
- ZIP Code
- 39525-3334
- Phone
- (228) 586-9229
Authorized Official
- Name
- DR. RONALD KELLUM, MD
- Title
- MD OWNER
- Phone
- (228) 586-9229
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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