NPI Profile for MARTY D BROCK in BAINBRIDGE, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pastoral |
101YP1600X | |||
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI Number | 1427485036 |
|
| Status | Active | |
| Credentials | M.A., CCAADC | |
| Entity | Individual | |
| Enumeration date | 09/27/2013 | |
| Last updated | 09/27/2013 - About 13 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MARTY D BROCK
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