Brock, James Murray
Brock, James Murray is an individual health care provider with primary practice located at 136 Marion Ave , Mccomb MS 39648-3620. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Brock, James Murray can be contacted via phone (601) 684-3210.Contact Information
Primary practice address
136 Marion Ave
Mccomb MS 39648-3620
Phone: (601) 684-3210
Fax: (601) 684-3319
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 07285 | Mississippi |
Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 07285 | Mississippi |
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 07285 | Mississippi |
Profile Details
NPI number | 1912036823 |
---|---|
LBN Legal business name | Brock, James Murray |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 5th, 2007 |
Last updated | Nov 3rd, 2020 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1912036823 | NPPES |
Mississippi | MEDICAID | 00115075 |
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