| Hancock Family Medicine | |
|
5400 Indian Hill Blvd Diamondhead MS 39525-3334 | |
| (228) 586-9229 | |
| (228) 586-9230 |
| Full Name | Hancock Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 5400 Indian Hill Blvd, Diamondhead, Mississippi |
| Authorized Official Name and Position | Ronald Kellum (MD OWNER) |
| Authorized Official Contact | 2285869229 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hancock Family Medicine 5400 Indian Hill Blvd Diamondhead MS 39525-3334 Ph: (228) 586-9229 | Hancock Family Medicine 5400 Indian Hill Blvd Diamondhead MS 39525-3334 Ph: (228) 586-9229 |
| NPI Number | 1184732448 |
|---|---|
| Provider Enumeration Date | 08/28/2006 |
| Last Update Date | 11/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184732448 | NPI | - | NPPES |
| C93454 | Other | MS | MEDICARE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Ochsner Health Center - Shepherd Square Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4550 Shepherd Sq, Diamondhead, MS 39525 Phone: 228-255-8216 | |
Ochsner Mississippi, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4402 E Aloha Dr Ste 16, Diamondhead, MS 39525 Phone: 228-364-9001 Fax: 228-364-9004 | |
Memorial Hospital At Gulfport Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4300 Leisure Time Dr, Suite A, Diamondhead, MS 39525 Phone: 228-255-4300 Fax: 228-255-3626 | |
Gulf Coast Life, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4405 E Aloha Dr, Diamondhead, MS 39525 Phone: 228-255-8818 Fax: 228-255-8820 | |
Ochsner Health Center - Diamond Head Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4540 Shepherd Sq, Diamondhead, MS 39525 Phone: 228-255-8216 | |
Hancock Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4433 Leisure Time Dr., Diamondhead, MS 39525 Phone: 228-586-9229 Fax: 228-586-9230 |