Individual
DR. CHARLES E BROCK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
810 E SUNFLOWER RD, CLEVELAND, MS 38732-2800
(662) 843-3606
Mailing address
498 HILLCREST CIR, CLEVELAND, MS 38732-2008
(662) 843-1433
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11341
MS
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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