Brock, Heather Suzanne
Brock, Heather Suzanne is an individual health care provider with primary practice located at 100 Saint Clair Pkwy , Saint Simons Island GA 31522-1007. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Brock, Heather Suzanne can be contacted via phone (678) 446-7351.Contact Information
Primary practice address
100 Saint Clair Pkwy
Saint Simons Island GA 31522-1007
Phone: (678) 446-7351
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 003270 | Georgia |
Profile Details
| NPI number | 1891744827 |
|---|---|
| LBN Legal business name | Brock, Heather Suzanne |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2006 |
| Last updated | May 19th, 2016 - about 9 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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