Individual
THEODORE K SCHOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
63 W GIBSON ST, HARTWELL, GA 30643-1845
(706) 376-6100
(706) 376-3394
Mailing address
PO BOX 459, COLBERT, GA 30628-0459
(706) 788-3234
(706) 788-2936
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
030882
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000373117E
—
GA
Enumeration date
12/13/2006
Last updated
08/06/2016
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