Provider First Line Business Practice Location Address:
HANCOCK MEDICAL CENTER--EMERGENCY DEPT
Provider Second Line Business Practice Location Address:
149 DRINK WATER BLVD
Provider Business Practice Location Address City Name:
BAY ST. LOOIS
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
39520
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
228-467-8669
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/16/2006