Brock, Madison

Brock, Madison is an sole proprietor health care provider with primary practice located at 1900 N Winston Rd Ste 501 , Knoxville TN 37919-3605. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Brock, Madison can be contacted via phone (404) 583-6615.

Contact Information

Primary practice address
1900 N Winston Rd Ste 501 Knoxville TN 37919-3605
Phone: (404) 583-6615
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1861263121
LBN Legal business name Brock, Madison
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 15th, 2024
Last updated Jan 25th, 2024 - 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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