Individual
LEE DAVID MOCKRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
515 STONECREST PKWY, SUITE 150, SMYRNA, TN 37167-6826
(615) 223-1350
(615) 223-1351
Mailing address
310 25TH AVE N, STE 201, NASHVILLE, TN 37203-1515
(615) 333-1440
(615) 333-9639
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD35505
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
370019110
PALMETTO GBA
—
05
—
3867471
—
TN
Enumeration date
09/09/2005
Last updated
04/06/2011
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