Individual
DR. BRADY KURT MOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 VAIL AVE STE 200, CHARLOTTE, NC 28207
(704) 323-2000
Mailing address
4601 PARK RD STE 250, CHARLOTTE, NC 28209-2373
(704) 323-2000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2018-00406
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0397730024
NSC #
NC
05
—
1841630183
—
NC
05
—
NC3388
—
SC
Enumeration date
07/01/2013
Last updated
08/08/2018
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