Timothy Zachary Brock, MD | |
148 Bill Carruth Pkwy, Suite 180, Hiram, GA 30141-3754 | |
(770) 445-4915 | |
(770) 445-6876 |
Full Name | Timothy Zachary Brock |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 17 Years |
Location | 148 Bill Carruth Pkwy, Hiram, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679772297 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | LL30096 (South Carolina) | Secondary |
208600000X | Surgery | 69551 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellstar Paulding Hospital | Hiram, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wellstar Medical Group, Llc | 6709065402 | 1917 |
Entity Name | Wellstar Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Mailing Address | Practice Location Address |
---|---|
Timothy Zachary Brock, MD 148 Bill Carruth Pkwy, Suite 180, Hiram, GA 30141-3754 Ph: (770) 445-4915 | Timothy Zachary Brock, MD 148 Bill Carruth Pkwy, Suite 180, Hiram, GA 30141-3754 Ph: (770) 445-4915 |
Dr. Vanchad C Memark, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 148 Bill Carruth Pkwy, Suite 180, Hiram, GA 30141 Phone: 770-445-4915 Fax: 770-445-2876 | |
Karun Somani, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 148 Bill Carruth Pkwy Ste 180, Hiram, GA 30141 Phone: 770-445-1915 Fax: 770-445-6876 |