Individual
MICHAEL BOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1348 WALTON WAY STE 6400, AUGUSTA, GA 30901-5104
(706) 722-8242
Mailing address
1348 WALTON WAY STE 6400, AUGUSTA, GA 30901-5104
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
GAA-NP004619
GA
363LF0000X
Family Nurse Practitioner
120536
WV
Other
Enumeration date
10/30/2024
Last updated
05/22/2026
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