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1306568167
BROCK MEDICAL, LLC
HAZARD, KY
NPI
1306568167
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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
2022-09-16
Last Update Date
2022-09-16
Business Address
BROCK MEDICAL, LLC
60 FITZ GILBERT RD
HAZARD, KY 41701-5336
Phone number: 859-398-2001
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Mailing Address
BROCK MEDICAL, LLC
PO BOX 306414
NASHVILLE, TN 37230-6414
Phone number: 859-398-2001
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