Search › Georgia › 101YP1600X
Marty Brock, M.A., CCAADC
NPI 1427485036 · on the registry since 2013 · sole proprietor
Practice
- Address
- 214 Prosperity Church Rd
Bainbridge, GA 39817 - Phone
- (229) 220-2275
Registry record
- Primary taxonomy
- 101YP1600X
101YP1600X
- Also registered as
- 101YA0400X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-09-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia