SearchGeorgia1744P3200X

Edna Mock, CERT HAIR LOSS SPECI

NPI 1124458476 · on the registry since 2013 · sole proprietor

Practice

Address
2956 Vine Grove St
Powder Springs, GA 30127
Phone
(770) 990-3944
Fax
(770) 439-8870

Registry record

Primary taxonomy
1744P3200X
1744P3200X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-11-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia