LOGAN MOCK

LILLINGTON, NC
NPI1578180006
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2020-06-30
Last Update Date2024-11-20
Business Address
LOGAN MOCK PA
215 BRIGHTWATER DR
LILLINGTON, NC 27546-5156
Phone number: 704-765-2578
Mailing Address
LOGAN MOCK PA
200 QUEENS RD STE 400
CHARLOTTE, NC 28204-3264
Phone number: 704-765-2578
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