Individual
KATHARINE ELIZABETH BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., M.S.
Contact information
Practice address
1405 CLIFTON RD NE, BRUMLEY BRIDGE AFLAC SUITE, HSRB W-340B, ATLANTA, GA 30322-4532
(404) 785-4741
(404) 727-4455
Mailing address
1405 CLIFTON RD NE, BRUMLEY BRIDGE AFLAC SUITE, HSRB W-340B, ATLANTA, GA 30322-4532
(404) 785-4741
(404) 727-4455
Taxonomy
Speciality
Code
Description
License number
State
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
76309
GA
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
76309
GA
Other
Enumeration date
03/30/2009
Last updated
11/03/2016
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