Individual
PATRICK GRANT MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
501 REDMOND RD NW, ROME, GA 30165-1415
(706) 291-0291
Mailing address
314 E 5TH AVE, ROME, GA 30161-3132
(706) 252-2842
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN296139
GA
207L00000X
Anesthesiology Physician
Primary
APRN-CRNA296139
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN-CRNA296139
GA
Other
Enumeration date
12/13/2022
Last updated
03/12/2026
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