Individual
KIRKLEY GRIFFETH JOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
4421 CARNES STREET, ACWORTH, GA 30101-5305
(478) 621-2072
(678) 540-8623
Mailing address
4421 CARNES STREET, ACWORTH, GA 30101-5305
(478) 621-2072
(678) 540-8623
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN218349
GA
Other
Enumeration date
08/05/2013
Last updated
12/28/2015
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