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Laverne R Mock
Prosthetic/Orthotic Supplier in Martinez, Georgia
NPI 1902084601

Laverne R Mock is a Prosthetic/Orthotic Supplier based in Martinez, GA. Laverne R Mock practices in Martinez, GA. The NPI Number for Laverne R Mock is 1902084601 and holds a License No. (Georgia).

The current practice location address for Laverne R Mock is 4341 Columbia Rd, Martinez, GA and can be reached out via phone at 706-863-4647 and via fax at 706-863-4606.

Location: 4341 Columbia Rd, Martinez, GA, 30907-1469
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902084601
Provider Name
Laverne R Mock
Credential
Provider Entity Type
Organization
Address
4341 Columbia Rd, Martinez, GA, 30907-1469
Phone Number
706-863-4647
Fax Number
706-863-4606
Provider Enumeration Date
02/05/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4341 Columbia Rd
City
Martinez
State
Georgia
Zip
30907-1469
Phone Number
706-863-4647
Fax Number
706-863-4606
person
Provider Business Mailing Address Details
Address
4341 Columbia Rd
City
Martinez
State
Georgia
Zip
30907-1469
Phone Number
706-863-4647
Fax Number
706-863-4606
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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