Provider Demographics
NPI:1053196931
Name:MIN, DA MOK (AUD)
Entity type:Individual
Prefix:DR
First Name:DA MOK
Middle Name:
Last Name:MIN
Suffix:
Gender:
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BRANCH HEALTH CLINIC (BHC) PARRIS ISLAND
Mailing Address - Street 2:670 BOULEVARD DE FRANCE
Mailing Address - City:PARRIS ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29905
Mailing Address - Country:US
Mailing Address - Phone:843-228-2528
Mailing Address - Fax:
Practice Address - Street 1:BRANCH HEALTH CLINIC (BHC) PARRIS ISLAND
Practice Address - Street 2:670 BOULEVARD DE FRANCE
Practice Address - City:PARRIS ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29905
Practice Address - Country:US
Practice Address - Phone:843-228-2528
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-29
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU3795231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist