Dr Sherry Brock, MD | |
743 Spring St Ne, Gainesville, GA 30501-3715 | |
(770) 536-2146 | |
(770) 536-7895 |
Full Name | Dr Sherry Brock |
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Gender | Female |
Speciality | Emergency Medicine |
Location | 743 Spring St Ne, Gainesville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992778591 | NPI | - | NPPES |
000751572P | Medicaid | GA | |
000751572Q | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 043006 (Georgia) | Primary |
Entity Name | Northside Emergency Associates, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285686303 PECOS PAC ID: 9335135144 Enrollment ID: O20040426000165 |
Mailing Address | Practice Location Address |
---|---|
Dr Sherry Brock, MD Po Box 2938, Gainesville, GA 30503-2938 Ph: (770) 536-2146 | Dr Sherry Brock, MD 743 Spring St Ne, Gainesville, GA 30501-3715 Ph: (770) 536-2146 |
Dr. Keith Edwin Leap Ii, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 786-357-9327 | |
Dr. Philippe Gadegbeku, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-536-2146 Fax: 770-536-7895 | |
Dr. George Houlditch, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-536-2146 | |
Heather Holstein, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-9000 | |
Jason Sanghwa Oh, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-9000 | |
William E Davis, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-536-2146 Fax: 770-536-7895 | |
Dr. Gary Kempler, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-536-2146 Fax: 770-536-7895 |