Individual
TIMOTHY ZACHARY BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
148 BILL CARRUTH PKWY, SUITE 180, HIRAM, GA 30141-3754
(770) 445-4915
(770) 445-6876
Mailing address
148 BILL CARRUTH PKWY, SUITE 180, HIRAM, GA 30141-3754
(770) 445-4915
(770) 445-6876
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
69551
GA
208600000X
Surgery Physician
LL30096
SC
Other
Enumeration date
07/13/2007
Last updated
12/10/2019
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