Individual provider · Type 1 NPI
Amy Rose Hancock, PAC
Medical Physician Assistant · Myrtle Beach, SC
NPI number
1346350089
Active
Practice location
4900 Oleander Dr, Suite # 1
Myrtle Beach, SC 29577-5897
Fax (864) 546-4506
Mailing address
200 E Broad St, Suite # 220
Greenville, SC 29601-2887
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | OA002612 (PA) |
Medical Physician Assistant: Definition to come...
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About NPI 1346350089
Amy Rose Hancock, PAC's National Provider Identifier is 1346350089, issued on Aug 30, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Myrtle Beach, SC. The record was last updated on Jun 2, 2016.