Individual provider · Type 1 NPI

Margaret Anne Brock

Family Nurse Practitioner · Tifton, GA

NPI number 1104391002 Active

Practice location

1948 Old Ocilla Rd
Tifton, GA 31794-1644

Fax (229) 391-3499

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN228109 (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1104391002

Margaret Anne Brock's National Provider Identifier is 1104391002, issued on Oct 6, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Tifton, GA. The record was last updated on Oct 6, 2018.