Margaret Anne Brock
Nurse Practitioner, Family in Tifton, GA. Individual provider (NPI-1).
NPI number1104391002
StatusActive
Last updated in NPPESOct 6, 2018
Details
- NPI
- 1104391002
- Entity type
- Individual (NPI-1)
- Name
- Margaret Anne Brock
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 6, 2018
- Last updated
- Oct 6, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | RN228109 | GA | Yes |
Practice location
1948 Old Ocilla RdTifton, GA 31794-1644
Phone 229-391-3500 · Fax 229-391-3499
Mailing address
1948 Old Ocilla RdTifton, GA 31794-1644
Phone 229-391-3500
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