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1114926912
RONALD LEROY BROCK
GAINESVILLE, GA
NPI
1114926912
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: GA 45044)
Additional Taxonomies
208800000X Urology
(Licence: GA 045044)
Enumeration Date
2005-07-14
Last Update Date
2015-12-09
Business Address
Mr. RONALD LEROY BROCK M.D.
660 LANIER PARK DRIVE STE A
GAINESVILLE, GA 30501-2075
Phone number: 770-535-0000
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Mailing Address
Mr. RONALD LEROY BROCK M.D.
PO BOX 742616
ATLANTA, GA 30374-2616
Phone number: 770-219-8420
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