Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. WIRT FLETCHER SHROCK JR., M.D.
Active Sole ProprietorDR. WIRT FLETCHER SHROCK JR., M.D. is a Family Medicine healthcare provider located in DURANT, Mississippi. NPI 1497843676 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · DURANT, MS
Registration Details
- NPI Number
- 1497843676
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 11, 2006 (19.823438162525 yrs)
- Last Updated
- Feb 15, 2010
- License
-
10738 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
630 NORTHWEST AVEDURANT, MS, 390633337Browse MS providers · Browse ZIP 39063
- Phone
- 6626533012
- Fax
- 6626536423
- Primary Specialty
-
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.