Brock, Andrea Gentry

Brock, Andrea Gentry is an individual health care provider with primary practice located at 128 Medical Park Rd Suite 101, Mooresville NC 28117-8578. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Brock, Andrea Gentry can be contacted via phone (704) 658-1001.

Contact Information

Primary practice address
128 Medical Park Rd Suite 101 Mooresville NC 28117-8578
Phone: (704) 658-1001
Fax: (704) 658-1002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 103497 North Carolina

Profile Details

NPI number 1073575908
LBN Legal business name Brock, Andrea Gentry
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Aug 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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