Wirt Fletcher Shrock, M.D. Valid NPI
Individual provider · Family Medicine Physician · Durant, MS
- NPI
- 1497843676
- Type
- Individual (Type 1)
- Primary specialty
- Family Medicine Physician (Family Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207Q00000X
- License number
- 10738 (MS)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-10-11
- Last updated
- 2010-02-15
Practice location
630 Northwest Ave
Durant, MS 39063-3337
(662) 653-3012