Brock, Timothy Craig
Brock, Timothy Craig is an sole proprietor health care provider with primary practice located at 1240 Jesse Jewell Pkwy Se Suite 200, Gainesville GA 30501-3862. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Brock, Timothy Craig can be contacted via phone (770) 532-8438.Contact Information
Primary practice address
1240 Jesse Jewell Pkwy Se Suite 200
Gainesville GA 30501-3862
Phone: (770) 532-8438
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Tennessee | |
Allopathic & Osteopathic Physicians / Urology | 208800000X | 75023 | Georgia |
Profile Details
NPI number | 1114213725 |
---|---|
LBN Legal business name | Brock, Timothy Craig |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 22nd, 2011 |
Last updated | Jul 20th, 2016 - about 8 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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