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Individual

MR. WILLIAM EDWARD MOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2871 CORPORATE PARK DR, OPELIKA, AL 36801-7250
(334) 887-2020
(334) 887-2030
Mailing address
2871 CORPORATE PARK DR, OPELIKA, AL 36801-7250
(334) 887-2020
(334) 887-2030

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
00005394
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000004428
AL
05
000075538
AL
01
051004428
BLUE CROSS OF ALABAMA
AL
01
051075538
BLUE CROSS OF ALABAMA
AL
01
0800338
UNITED HEALTHCARE
01
18003913Z
MEDICARE RAILROAD
01
630691977
CIGNA HEALTHCARE
Enumeration date
08/15/2006
Last updated
02/27/2018
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