Individual
MICHAEL E MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15190 COMMUNITY RD, SUITE250, GULFPORT, MS 39503-3485
(228) 539-8100
Mailing address
15190 COMMUNITY RD, SUITE250, GULFPORT, MS 39503-3485
(228) 539-8100
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
06443
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00011363
—
MS
Enumeration date
09/25/2006
Last updated
05/08/2008
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