Individual
ALLISON BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
216 HOSPITAL DR, CORDELE, GA 31015-3275
(229) 276-2000
(229) 276-3634
Mailing address
307 E 3RD AVE, CORDELE, GA 31015-3208
(229) 271-4656
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN167970
GA
Other
Enumeration date
06/12/2019
Last updated
01/26/2021
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