LOGAN MOCK

FAYETTEVILLE, NC
NPI1578180006
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2020-06-30
Last Update Date2021-02-12
Business Address
LOGAN MOCK PA
1638 OWEN DR
FAYETTEVILLE, NC 28304-3424
Phone number: 843-726-1470
Mailing Address
LOGAN MOCK PA
1638 OWEN DR
FAYETTEVILLE, NC 28304-3424
Phone number:
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