Individual
MEGAN ELIZABETH BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, MPH
Contact information
Practice address
1200 MEMORIAL DR, DALTON, GA 30720-2529
(706) 272-6000
Mailing address
72 STONECREST LN, RINGGOLD, GA 30736-2901
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT010742
GA
Other
Enumeration date
04/17/2018
Last updated
04/17/2018
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