Gina Brock in Savannah - Student In An Organized Health Care Education/training Program

Gina Brock - NPI 1154374668

Gina Brock is a Student In An Organized Health Care Education/training Program in Savannah, Georgia. Gina Brock practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for Gina Brock is 1154374668. The last update date is 2022-04-25.

Gina Brock's current location address is 1107 E 66th St, Savannah, Georgia. You can contact this provider via phone number 9123508837 and fax number 9123505118. The mailing address for Gina Brock is 1107 E 66th St, Savannah, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Gina Brock
Address 1107 E 66th St, Savannah, Georgia
Phone Number 9123508837
Fax Number 9123505118
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1154374668
Provider Enumeration Date 2006-05-18
Last Updated Date 2022-04-25

Provider Mailing Address Detail

Address 1107 E 66th St
City Savannah
State Georgia (GA)
Post Code 314045701
Phone Number 9123508837
Fax Number 9123505118

Provider's Primary Taxonomy Detail

Speciality Student In An Organized Health Care Education/training Program
Taxonomy 390200000X
Definition:
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00164456 FL RAILROAD MEDICARE - FLAGL

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FAQs about Gina Brock

What is the Gina Brock's unique identification number?

The Gina Brock has been assigned the NPI (National Provider Identifier) Number 1154374668 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Gina Brock is physically located?

The Gina Brock is physically situated at the following address: 1107 E 66Th St, Savannah, GA, 314045701.

What is the Gina Brock's area of specialization and corresponding taxonomy classification?

The Gina Brock's specialty field is Student In An Organized Health Care Education/training Program, and it falls under the taxonomy code 390200000X, which categorizes healthcare providers based on their specialties.

When did the Gina Brock receive its 1154374668?

The Gina Brock was issued its 1154374668 on 2006-05-18, which is the date when the organization was assigned this unique identifier.

When was the information regarding Gina Brock, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Gina Brock, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-04-25.

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