Jonathan Mock Valid NPI
Individual provider · Attendant Care Provider · Ludowici, GA
- NPI
- 1568004851
- Type
- Individual (Type 1)
- Primary specialty
- Attendant Care Provider (Technician)
- Specialty group
- Nursing Service Related Providers
- Taxonomy code
- 3747A0650X
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2019-10-08
- Last updated
- 2019-10-08
Practice location
190 Madison Ave Ne
Ludowici, GA 31316-5610
(912) 271-4633