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Individual

DR. WILLIAM PATRICK ROCHE IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
389 MULBERRY ST STE 200, MACON, GA 31201
(478) 743-9123
(478) 742-9809
Mailing address
389 MULBERRY ST STE 200, MACON, GA 31201-7904
(478) 743-9123
(478) 742-9809

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
76152
GA
2084N0600X
Clinical Neurophysiology Physician
Primary
76152
GA

Other

Enumeration date
08/21/2012
Last updated
05/03/2019
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