Individual
GEORGI N. BROCKWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 MEDICAL PARK DR, SUITE 310, CONCORD, NC 28025-2948
(704) 403-2660
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
2010-01342
NC
Other
Enumeration date
04/19/2007
Last updated
05/04/2023
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