Provider Demographics
NPI:1083637490
Name:HANCOCK DIABETES & ENDOCRINE CENTER PLLC
Entity Type:Organization
Organization Name:HANCOCK DIABETES & ENDOCRINE CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LLOYD
Authorized Official - Middle Name:D
Authorized Official - Last Name:HANCOCK
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:615-867-1193
Mailing Address - Street 1:745 S CHURCH ST
Mailing Address - Street 2:SUITE 501
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37130-4984
Mailing Address - Country:US
Mailing Address - Phone:615-867-1193
Mailing Address - Fax:615-867-1197
Practice Address - Street 1:745 S CHURCH ST
Practice Address - Street 2:SUITE 501
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-4984
Practice Address - Country:US
Practice Address - Phone:615-867-1193
Practice Address - Fax:615-867-1197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD36917207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty