Individual
KAREN J MOCKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1034 SOUTH TALLASSEE STREET, DADEVILLE, AL 36853
(256) 825-9900
(256) 825-6620
Mailing address
1034 SOUTH TALLASSEE STREET, DADEVILLE, AL 36853
(256) 825-9900
(256) 825-6620
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4555
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51521935
BLUE CROSS PROVIDER NUMBE
AL
05
—
M0009954235
—
AL
01
—
P00164084
MEDICARE RAILROAD
AL
Enumeration date
07/25/2006
Last updated
08/14/2012
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