Mock, Gregory P.

Mock, Gregory P. is an individual health care provider with primary practice located at 403 S Poplar St Ste D , Searcy AR 72143-6000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Mock, Gregory P. can be contacted via phone (501) 279-7077.

Contact Information

Primary practice address
403 S Poplar St Ste D Searcy AR 72143-6000
Fax: (501) 279-3970
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 20865 Mississippi
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X E8397 Arkansas

Profile Details

NPI number 1942308101
LBN Legal business name Mock, Gregory P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Apr 16th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942308101 NPPES
Arkansas MEDICAID 203317001

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