Individual
BROCK MUSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 FIRST COURT, COLUMBUS, GA 31909
(706) 494-2100
Mailing address
317 E BLACK ST, MARSHALL, MO 65340-3333
(660) 229-2582
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2018029207
MO
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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