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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LOGAN MOCK, PA

Active Sole Proprietor

LOGAN MOCK, PA is a Physician Assistant healthcare provider located in LILLINGTON, North Carolina. NPI 1578180006 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · LILLINGTON, NC

Registration Details

NPI Number
1578180006
Provider Type
Individual
Gender
Male
NPI Issued
Jun 30, 2020 (6.1221581056064 yrs)
Last Updated
Nov 20, 2024
Sole Proprietor
Yes

Practice Information

Address
215 BRIGHTWATER DR
LILLINGTON, NC, 275465156
Browse NC providers · Browse ZIP 27546
Phone
7047652578
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in LILLINGTON, NC

Name Credential NPI
MRS. MEENA PATEL DAVE PHYSICIANS ASSISTANT 1851421390
DAVID MERLIN PAULSON PA-C 1912026519
MRS. MELISSA BLAKELY BEITZEL PA-C 1245495068
BIANCA L GOO PA-C 1588995591
BRANDY NORRIS MOUNTCASTLE PA-C 1043541659
JAMIE L SPEIGHT PAC 1124301312
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.