Jonathan Mock

NPI #1568004851 in Ludowici, Georgia

Provider Information

NPI Number
1568004851
Entity Type
Individual
Name
Jonathan Mock
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician - Attendant Care Provider
Enumeration Date
Oct 8, 2019
Last Updated
Oct 8, 2019

Practice Location

Address
190 MADISON AVE NE
State
Georgia
ZIP Code
31316-5610
Phone
(912) 271-4633

Specialties & Taxonomy Codes

Specialty
Technician - Attendant Care ProviderAttendant Care Provider

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