Individual
MR. BROCK ALLEN MURRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10130 MALLARD CREEK RD, CHARLOTTE, NC 28262-6000
(704) 549-9550
Mailing address
10130 MALLARD CREEK RD, CHARLOTTE, NC 28262-6000
(704) 549-9550
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
01/30/2014
Last updated
01/30/2014
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