Logan Mock PA
Physician Assistant in Fayetteville, NC(View on Map)
Full Name
Logan Mock PA
NPI Number
1578180006
NPI Type
Individual Provider
Gender
Male
Enumeration Date
06/30/2020
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
1638 OWEN DR
1638 OWEN DR
City
Fayetteville
Fayetteville
State
NC
NC
Postal Code
28304-3424
28304-3424
Country
US
US
Telephone Number
N/A
(843) 726-1470
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/12/2021