Jonathan William Ceral Brock, MD, PHD
NPI #1417210279 in West Columbia, South Carolina
Provider Information
- NPI Number
- 1417210279
- Entity Type
- Individual
- Name
- Jonathan William Ceral Brock, MD, PHD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pediatrics
- Credential
- MD, PHD
- Enumeration Date
- Jun 18, 2012
- Last Updated
- Jul 15, 2019
Practice Location
- Address
- 2318A SUNSET BLVD
- City
- West Columbia
- State
- South Carolina
- ZIP Code
- 29169-4716
- Phone
- (803) 796-9200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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