Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | MD36917 | TN |
NPI | 1083655518 |
---|---|
Provider Name | Dr. Lloyd Douglas Hancock |
First Address | Murfreesboro, TN 37130-4984 |
Second Address | Murfreesboro, TN 37130-4984 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G17664 | (02) |