JAMES NELSON MOCK

CARBONDALE, IL
NPI1093726226
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: TN  62661)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: IL  036082903)
207P00000X Emergency Medicine
(Licence: SC  16733)
Enumeration Date2006-08-11
Last Update Date2021-09-23
Business Address
Dr. JAMES NELSON MOCK MD
405 W JACKSON ST
CARBONDALE, IL 62901-1462
Phone number: 618-549-0721
Mailing Address
Dr. JAMES NELSON MOCK MD
205 S HIGHLAND WAY
MYRTLE BEACH, SC 29572-3362
Phone number: 843-457-4747