NPI 1679772297

Timothy Zachary Brock, MD

Practitioner Surgery Physician Hiram, GA

Practice location

Address: 148 Bill Carruth Pkwy Suite 180, Hiram, GA 30141-3754
Phone: (770) 445-4915
Fax: (770) 445-6876

Registered specialties (2)

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 69551 (GA)

Other Surgery providers in Georgia →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence LL30096 (SC)

Registry record

NPI: 1679772297
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jul 2007
Record last updated: 10 Dec 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.