Provider Demographics
NPI:1669114294
Name:HANCOCK, EDWARD OLIVER (DO)
Entity type:Individual
Prefix:
First Name:EDWARD
Middle Name:OLIVER
Last Name:HANCOCK
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4845 W ANDREW JOHNSON HWY
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37814-1023
Mailing Address - Country:US
Mailing Address - Phone:828-335-2306
Mailing Address - Fax:615-503-4509
Practice Address - Street 1:4845 W ANDREW JOHNSON HWY
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37814-1023
Practice Address - Country:US
Practice Address - Phone:828-335-2306
Practice Address - Fax:615-503-4509
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-13
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5431207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty