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Individual

BILLIE BROCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN..,B.S.N.

Contact information

Practice address
29 MCENTIRE ST, CARNESVILLE, GA 30521-4083
(706) 384-2082
(706) 384-2083
Mailing address
29 MCENTIRE ST, CARNESVILLE, GA 30521-4083
(706) 384-2082
(706) 384-2083

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
059-03-003-1
GA

Other

Enumeration date
09/08/2016
Last updated
09/08/2016
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