DESIREE MOCK

GROVETOWN, GA
NPI1417472556
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN203476)
Enumeration Date2017-08-10
Last Update Date2022-07-21
Business Address
DESIREE MOCK NP
443 CAROLE DR
GROVETOWN, GA 30813-4106
Phone number: 706-541-1131
Mailing Address
DESIREE MOCK NP
PO BOX 647
APPLING, GA 30802-0647
Phone number: 706-541-1131