Jimmy L. Brock, D.M.D. Valid NPI
Individual provider · Dentist · Bowdon, GA
- NPI
- 1497925903
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 8166 (GA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2008-03-11
- Last updated
- 2008-03-11
Practice location
429 Mitchell Ave
Bowdon, GA 30108-1405
(770) 258-5516