# S. T. MOSS, M.D., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619086857
- **Authorized official:** SEABORN THOMAS MOSS M.D. (PRESIDENT)
- **Authorized official phone:** (706) 232-6010

## Contact information

- **Practice address:** 2016 REDMOND CIR NW, ROME, GA 30165-1322
- **Practice address phone:** (706) 232-6010
- **Mailing address:** 2016 REDMOND CIR NW, ROME, GA 30165-1322
- **Mailing address phone:** (706) 232-6010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 021559 | GA | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 08/22/2020