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CLARE KELLEHER MOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
430 WATERSTONE DRIVE, HILLSBOROUGH, NC 27278
(984) 974-1931
Mailing address
PO BOX 751274, CHARLOTTE, NC 28275-1274

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D74217
MD
208M00000X
Hospitalist Physician
Primary
2014-00720
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
055904100
MD
Enumeration date
04/24/2009
Last updated
08/13/2024
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