Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 5013 | NC |
NPI | 1114905080 |
---|---|
Provider Name | Dr. E Frank Hancock |
First Address | Boone, NC 28607-4014 |
Second Address | Boone, NC 28607-4014 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8993530 | (05) | NC |
93530 | BCBS PIN (01) | NC |
T63844 | (02) | NC |