Organization
LAVERNE R MOCK
Active
Other names
Monels Foundations
Organization subpart
No
Provider details
NPI number
Authorized official
LAVERNE R MOCK (OWNER)
(706) 863-4647
Entity
Organization
Contact information
Practice address
4341 COLUMBIA RD, MARTINEZ, GA 30907-1469
(706) 863-4647
(706) 863-4606
Mailing address
4341 COLUMBIA RD, MARTINEZ, GA 30907-1469
(706) 863-4647
(706) 863-4606
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
02/05/2008
Last updated
11/14/2008
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