Andrea Gentry Brock in Mooresville - Physician Assistant
Andrea Gentry Brock - NPI 1073575908
Andrea Gentry Brock is a Physician Assistant in Mooresville, North Carolina. Andrea Gentry Brock practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Andrea Gentry Brock is 1073575908. The last update date is 2023-08-07.
Andrea Gentry Brock's current location address is 128 Medical Park Rd, Mooresville, North Carolina. You can contact this provider via phone number 7046581001 and fax number 7046581002. The mailing address for Andrea Gentry Brock is 128 Medical Park Rd, Mooresville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrea Gentry Brock |
|---|---|
| Address | 128 Medical Park Rd, Mooresville, North Carolina |
| Phone Number | 7046581001 |
| Fax Number | 7046581002 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1073575908 |
|---|---|
| Provider Enumeration Date | 2006-04-05 |
| Last Updated Date | 2023-08-07 |
Provider Mailing Address Detail
| Address | 128 Medical Park Rd |
|---|---|
| City | Mooresville |
| State | North Carolina (NC) |
| Post Code | 281178578 |
| Phone Number | 7046581001 |
| Fax Number | 7046581002 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 103497 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the Andrea Gentry Brock's 1073575908?
The Andrea Gentry Brock's NPI (National Provider Identifier) Number is 1073575908. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Andrea Gentry Brock's physical address?
The Andrea Gentry Brock is physically located at 128 Medical Park Rd, in the city of Mooresville, NC, with the postal code 281178578.
What is Andrea Gentry Brock's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Andrea Gentry Brock's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did Andrea Gentry Brock receive its 1073575908 assignment from the Centers for Medicare & Medicaid Services?
The Andrea Gentry Brock was assigned its 1073575908 on 2006-04-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Andrea Gentry Brock's information last updated?
The Andrea Gentry Brock's information was last updated on 2023-08-07.