Brock, Sherry
Brock, Sherry is an individual health care provider with primary practice located at 743 Spring St Ne , Gainesville GA 30501-3715. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Brock, Sherry can be contacted via phone (770) 536-2146.Contact Information
Primary practice address
743 Spring St Ne
Gainesville GA 30501-3715
Phone: (770) 536-2146
Fax: (770) 536-7895
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 043006 | Georgia |
Profile Details
| NPI number | 1992778591 |
|---|---|
| LBN Legal business name | Brock, Sherry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Dec 22nd, 2008 - about 16 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 | 1992778591 | NPPES |
| Georgia | MEDICAID | 000751572P | |
| Georgia | MEDICAID | 000751572Q |
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