Brock, Marcia Willis

Brock, Marcia Willis is an individual health care provider with primary practice located at 1500 E Shotwell St , Bainbridge GA 39819-4256. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Brock, Marcia Willis can be contacted via phone (229) 243-6163.

Contact Information

Primary practice address
1500 E Shotwell St Bainbridge GA 39819-4256
Fax: (229) 243-3327
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 018452 Georgia

Profile Details

NPI number 1407857303
LBN Legal business name Brock, Marcia Willis
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Jul 8th, 2007 - about 18 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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