Amy Rose Hancock, PAC
Physician Assistant, Medical in Myrtle Beach, SC. Individual provider (NPI-1).
NPI number1346350089
StatusActive
Last updated in NPPESJun 2, 2016
Details
- NPI
- 1346350089
- Entity type
- Individual (NPI-1)
- Name
- Amy Rose Hancock
- Credential
- PAC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 30, 2006
- Last updated
- Jun 2, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | OA002612 | PA | Yes |
Practice location
4900 Oleander DrSuite # 1
Myrtle Beach, SC 29577-5897
Phone 864-343-2609 · Fax 864-546-4506
Mailing address
200 E Broad StSuite # 220
Greenville, SC 29601-2887
Phone 864-343-2609 · Fax 864-546-4506
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