Shea Brock

NPI #1972907699 in Hoschton, Georgia

Provider Information

NPI Number
1972907699
Entity Type
Individual
Name
Shea Brock
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Oct 9, 2014
Last Updated
Jun 22, 2020

Practice Location

Address
5848 HIGHWAY 124 W
State
Georgia
ZIP Code
30548-5900
Phone
(866) 389-2727

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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