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Individual

WILLIAM A ROCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1530
(601) 984-1531
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1530
(601) 984-1531

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
12230
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00017536
MS
01
220028283
RR MEDICARE
Enumeration date
07/06/2006
Last updated
10/11/2011
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