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Contact Information

TIMOTHY C BROCK, MD
1240 JESSE JEWELL PKWY SE
SUITE 200
GAINESVILLE, GA30501-3862
 Phone: 770-532-8438
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for TIMOTHY C BROCK · (Male)

NPI Number 1114213725
Status Active
Credentials MD
Entity Individual
Enumeration date 06/22/2011
Last updated 08/05/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • GA License # 75023
Hospital affiliation(s)
  • CHATUGE REGIONAL HOSPITAL - (Critical Access)
    110 EAST MAIN STREET
    HIAWASSEE, GA 30546
  • NORTHEAST GEORGIA MEDICAL CENTER INC - (Acute Care)
    743 SPRING STREET
    GAINESVILLE, GA 30501
  • NORTHSIDE HOSPITAL FORSYTH - (Acute Care)
    1200 NORTHSIDE FORSYTH DRIVE
    CUMMING, GA 30041
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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