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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 9 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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