Individual
PAUL BENNETT BROCK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1825 MARTHA BERRY BLVD NW, ROME, GA 30165-1625
(762) 235-2100
(706) 236-6432
Mailing address
221 TECHNOLOGY PKWY NW, ROME, GA 30165-1369
(762) 235-1000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
88625
GA
Other
Enumeration date
04/22/2015
Last updated
08/03/2021
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