IndividualActive
Edna Mock, CERT HAIR LOSS SPECI
NPI 1124458476 · Prosthetics Case Management · Powder Springs, GA
Provider details
- NPI number
- 1124458476
- Entity type
- Individual
- Primary specialty
- Prosthetics Case ManagementOther Service Providers
- Credential
- CERT HAIR LOSS SPECI
- Sex
- Female
- Sole proprietor
- Yes
- License
- CO116503 (GA)
Practice location
2956 Vine Grove St
Powder Springs, GA 30127-1782
Phone: (770) 990-3944
Fax: (770) 439-8870
Mailing address
2956 Vine Grove St
Powder Springs, GA 30127-1782
Registry dates
- Enumerated
- 2013-11-24
- Last updated
- 2013-11-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.