Jonathan Mock
Jonathan Mock is an Attendant Care Provider in Ludowici, Georgia. Licensed in Georgia. Registered with an NPI since 2019.
- Licensed in
- GA
- In the registry since
- 2019
Practice location Address checks out
190 Madison Ave NELudowici, GA 31316-5610
Phone: (912) 271-4633
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Attendant Care Provider (primary) | Taxonomy 3747A0650X (GA) |
|---|
Record details
| NPI number | 1568004851 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 8, 2019 |
| Last updated in NPPES | October 8, 2019 |
| Mailing address | 190 Madison Ave Ne, Ludowici, GA 31316-5610 |