Individual
MR. WILLIAM GLENN TROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.P.
Contact information
Practice address
120 E KINGSTON AVE, CHARLOTTE, NC 28203-4742
(704) 375-2587
(704) 333-4429
Mailing address
120 E KINGSTON AVE, CHARLOTTE, NC 28203-4742
(704) 375-2587
(704) 333-4429
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CP003272
SC
1744P3200X
Prosthetics Case Management
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Other
Enumeration date
10/04/2011
Last updated
09/22/2016
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