Dr. Jack Haynes Hancock
Oral and Maxillofacial Surgeon
10 Enterprise Blvd Suite 209
Greenville
, South Carolina 29615-6301
Dr. Jack Haynes Hancock
Oral and Maxillofacial Surgeon
10 Enterprise Blvd Suite 209
Greenville
, South Carolina 29615-6301
(864) 234-8844
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Jack Haynes Hancock
- 10 Enterprise Blvd Suite 209
- Greenville, SC
- Zip : 29615-6301
- Fax : (864) 234-8844
- Phone : (864) 234-8811
Second Address
- Dr. Jack Haynes Hancock
- 10 Enterprise Blvd Suite 209
- Greenville, SC
- Zip : 29615-6301
- Fax : (864) 234-8844
- Phone : (864) 234-8811
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 1588 | SC |
National Provider Identifier
| NPI | 1013902980 |
|---|---|
| Provider Name | Dr. Jack Haynes Hancock |
| First Address | Greenville, SC 29615-6301 |
| Second Address | Greenville, SC 29615-6301 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/09/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| Z15889 | (05) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.