Search › Georgia › 3747A0650X
Jonathan Mock
NPI 1568004851 · on the registry since 2019
Practice
- Address
- 190 Madison Ave Ne
Ludowici, GA 31316 - Phone
- (912) 271-4633
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 3747A0650X
3747A0650X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-10-08
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