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1376227249
GINA MICHELLE BROCK
COLUMBIA, SC
NPI
1376227249
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 26424)
Enumeration Date
2023-06-12
Last Update Date
2023-06-27
Business Address
GINA MICHELLE BROCK FNP-C
8 RICHLAND MEDICAL PARK DR STE 400
COLUMBIA, SC 29203-8004
Phone number: 803-765-0871
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Mailing Address
GINA MICHELLE BROCK FNP-C
300 E MCBEE AVE FL 4
GREENVILLE, SC 29601-2842
Phone number: 864-522-8603
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