Individual
DR. BERTHRONE LACALVIN MOCK-MUHAMMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
406 BRIARWOOD DR STE 401, JACKSON, MS 39206-3063
(601) 707-7899
(866) 304-0148
Mailing address
406 BRIARWOOD DR STE 401, JACKSON, MS 39206-3063
(601) 707-7899
(866) 304-0148
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
20402
MS
2251C2600X
Cardiopulmonary Physical Therapist
—
—
2251E1300X
Clinical Electrophysiology Physical Therapist
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
01/04/2007
Last updated
10/27/2023
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