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Individual

MRS. CECILIA MOOK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CST/CSFA

Contact information

Practice address
110 PROFESSIONAL CT, JESUP, GA 31545-0044
(912) 427-0800
Mailing address
110 PROFESSIONAL CT, JESUP, GA 31545-0044
(912) 427-0800

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
246ZS0410X
Surgical Technologist
363AS0400X
Surgical Physician Assistant
Primary

Other

Enumeration date
06/25/2014
Last updated
08/03/2023
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