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Organization
STEPHEN MOSLEY PA-C LLC
Active
Organization
STEPHEN MOSLEY PA-C LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN MOSLEY PA-C (PRESIDENT)
(770) 757-2190
Entity
Organization
Contact information
Practice address
64 PINE KNOLL LN, SANTA ROSA BEACH, FL 32459-4588
(770) 757-2190
Mailing address
64 PINE KNOLL LN, SANTA ROSA BEACH, FL 32459-4588
(770) 757-2190
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/02/2021
Last updated
11/02/2021
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