Brock, Jeffrey Michael

Brock, Jeffrey Michael is an individual health care provider with primary practice located at 812 State Rd , Cheraw SC 29520-7113. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brock, Jeffrey Michael can be contacted via phone (843) 537-0961.

Contact Information

Primary practice address
812 State Rd Cheraw SC 29520-7113
Phone: (843) 537-0961
Fax: (843) 537-0908
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301097004 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 31021 South Carolina

Profile Details

NPI number 1992966352
LBN Legal business name Brock, Jeffrey Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2008
Last updated Mar 20th, 2024 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1992966352 NPPES
South Carolina MEDICAID 310210

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