Brock, Winston B
Brock, Winston B is an sole proprietor health care provider with primary practice located at 1205 E Shotwell St , Bainbridge GA 39819-4237. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Brock, Winston B can be contacted via phone (229) 246-1000.Contact Information
Primary practice address
1205 E Shotwell St
Bainbridge GA 39819-4237
Phone: (229) 246-1000
Fax: (229) 246-5643
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | PHRE006828 | Georgia |
Profile Details
| NPI number | 1770602310 |
|---|---|
| LBN Legal business name | Brock, Winston B |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 28th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1770602310 | NPPES |
| Georgia | MEDICAID | 55003547A |
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