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Campbell Gray Mock
Student in an Organized Health Care Education/Training Program in Montgomery, Alabama
NPI 1164284139

Campbell Gray Mock is a Student in an Organized Health Care Education/Training Program based in Wetumpka, AL. Campbell Gray Mock practices in Montgomery, AL. The NPI Number for Campbell Gray Mock is 1164284139 and holds a License No. (Alabama).

The current practice location address for Campbell Gray Mock is 7076 Atlanta Hwy, Montgomery, AL and can be reached out via phone at 334-290-4501.

Location: 7076 Atlanta Hwy, Montgomery, AL, 36093-1753
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164284139
Provider Name
Campbell Gray Mock
Credential
Provider Entity Type
Individual
Gender
Male
Address
7076 Atlanta Hwy, Montgomery, AL, 36093-1753
Phone Number
334-290-4501
Fax Number
Provider Enumeration Date
01/25/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7076 Atlanta Hwy
City
Montgomery
State
Alabama
Zip
36117-4242
Phone Number
334-290-4501
Fax Number
person
Provider Business Mailing Address Details
Address
7076 Atlanta Hwy
City
Montgomery
State
Alabama
Zip
36117-4242
Phone Number
334-290-4501
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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