Individual
IRA G ROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9263 MEDICAL PLAZA DR STE E, CHARLESTON, SC 29406-7112
(843) 572-1228
Mailing address
101 HARRIS RD, KILMARNOCK, VA 22482-3880
(804) 435-8000
(804) 435-8078
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
027439
CT
207L00000X
Anesthesiology Physician
Primary
84690
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001274398
—
CT
01
—
48F541
EMPIRE BC
NY
01
—
P00916913
MEDICARE RAILROAD
VA
Enumeration date
05/13/2006
Last updated
05/03/2021
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