Organization
GORDONSVILLE CLINIC
Active
Other names
dr. angela moss
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA S MOSS MD (OWNER)
(615) 683-1070
Entity
Organization
Contact information
Practice address
126 JMZ DR, GORDONSVILLE, TN 38563-2152
(615) 683-1070
(615) 683-1079
Mailing address
126 JMZ DR, GORDONSVILLE, TN 38563-2152
(615) 683-1070
(615) 683-1079
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35031
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3874872
—
TN
Enumeration date
05/29/2007
Last updated
02/03/2010
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