person
Edna Sharie Mock, CERTHAIRLOSSSPECI
Prosthetics Case Management in Powder Springs, Georgia
NPI 1124458476

Edna Sharie Mock is a Prosthetics Case Management based in Powder Springs, GA and is specialized in Prosthetics Case Management. Edna Sharie Mock practices in Powder Springs, GA and has the professional credentials of CERTHAIRLOSSSPECI. The NPI Number for Edna Sharie Mock is 1124458476 and holds a License No. CO116503 (Georgia).

The current practice location address for Edna Sharie Mock is 2956 Vine Grove St, Powder Springs, GA and can be reached out via phone at 770-990-3944 and via fax at 770-439-8870.

Location: 2956 Vine Grove St, Powder Springs, GA, 30127-1782
person
Provider Profile Details
NPI Number
1124458476
Provider Name
Edna Sharie Mock
Credential
CERTHAIRLOSSSPECI
Provider Entity Type
Individual
Gender
Female
Address
2956 Vine Grove St, Powder Springs, GA, 30127-1782
Phone Number
770-990-3944
Fax Number
770-439-8870
Provider Enumeration Date
11/24/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2956 Vine Grove St
City
State
Zip
30127-1782
Phone Number
770-990-3944
Fax Number
770-439-8870
person
Provider Business Mailing Address Details
Address
2956 Vine Grove St
City
State
Zip
30127-1782
Phone Number
770-990-3944
Fax Number
770-439-8870
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
License No.
CO116503 (Georgia)
Definition
Definition to come...
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