Organization
SPECIALTY SURGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES W MOCK CPA (CEO)
(225) 532-4058
Entity
Organization
Contact information
Practice address
11414 LAKE SHERWOOD AVE N STE B, BATON ROUGE, LA 70816-0406
(225) 532-4058
(225) 659-8031
Mailing address
11414 LAKE SHERWOOD AVE N STE B, BATON ROUGE, LA 70816-0406
(225) 532-4058
(225) 659-8031
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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