# EMMETT WAYNE MOSLEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1770783086
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 01075699B | IN | — |
| 207X00000X | Orthopaedic Surgery Physician | 048374 | GA | — |
| 207X00000X | Orthopaedic Surgery Physician | 26697 | KY | — |
| 207X00000X | Orthopaedic Surgery Physician | 27540 | TN | — |
| 207X00000X | Orthopaedic Surgery Physician | 32017 | OK | — |
| 207X00000X | Orthopaedic Surgery Physician | ME102864 | FL | Yes |
| 207XX0801X | Orthopaedic Trauma Physician | ME102864 | FL | — |

## Other

- **Enumeration date:** 07/24/2007
- **Last updated:** 03/13/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001662400 | — | FL |
| 05 | — | 019539100 | — | FL |
| 01 | — | LB406 | FL HFMG MEDICARE | FL |
| 01 | — | LE632 | FL HFMG MEDICARE | FL |