DR. Charles E Brock JR., M.D.

NPI #1689761280 in Cleveland, Mississippi

Provider Information

NPI Number: 1689761280
Entity Type: Individual
Name: DR. Charles E Brock JR., M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Oct 6, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 810 E SUNFLOWER RD
City: Cleveland
State: Mississippi
ZIP Code: 38732-2800
Phone: (662) 843-3606

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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