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1003537853
BROCK MEDICAL, LLC
MADISONVILLE, KY
NPI
1003537853
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Entity Type
Organization
Authorized Contact
SYDNI CLEMMONS
Credentialing Manager
901-351-1791
Organization Subpart ?
No
Primary Taxonomy
261QR1300X Clinic/Center, Rural Health
Enumeration Date
2022-09-09
Last Update Date
2022-09-09
Business Address
BROCK MEDICAL, LLC
1350 N MAIN ST
MADISONVILLE, KY 42431-1282
Phone number: 502-337-7409
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Mailing Address
BROCK MEDICAL, LLC
PO BOX 306414
NASHVILLE, TN 37230-6414
Phone number: 931-253-1110
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