Provider Demographics
NPI:1386702066
Name:HANCOCK, JAMES EVERETT JR (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:EVERETT
Last Name:HANCOCK
Suffix:JR
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2000
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28026-2000
Mailing Address - Country:US
Mailing Address - Phone:704-403-1430
Mailing Address - Fax:704-403-1158
Practice Address - Street 1:920 CHURCH ST N
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-2927
Practice Address - Country:US
Practice Address - Phone:704-403-1430
Practice Address - Fax:704-783-1158
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC9900240207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCE47547Medicare UPIN