Healthcare Provider Details

I. General information

NPI: 1447198742
Provider Name (Legal Business Name): PARIS BAILEY BROCK MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date: 03/25/2026
Reactivation Date: 04/10/2026

III. Provider practice location address

350 HOSPITAL DR
MACON GA
31217-3838
US

IV. Provider business mailing address

380 HOSPITAL DR BLDG A
MACON GA
31217-8001
US

V. Phone/Fax

Practice location:
  • Phone: 478-751-0367
  • Fax:
Mailing address:
  • Phone: 504-275-4451
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: