Brock, Jonathan Russell

Brock, Jonathan Russell is an sole proprietor health care provider with primary practice located at 1062 Forsyth St Ste 1B , Macon GA 31201-8638. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Brock, Jonathan Russell can be contacted via phone (478) 741-1208.

Contact Information

Primary practice address
1062 Forsyth St Ste 1B Macon GA 31201-8638
Phone: (478) 741-1208
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2022-00009 North Carolina
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 102044 Georgia

Profile Details

NPI number 1871927269
LBN Legal business name Brock, Jonathan Russell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2013
Last updated Aug 19th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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