Individual
KAREN MCCOMB MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 354-6187
(912) 355-9807
Mailing address
836 E 65TH ST STE 4, SAVANNAH, GA 31405-4491
(912) 354-6187
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN173580
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003114064G
—
GA
01
—
RN173580
MEDICAL LICENSE
GA
Enumeration date
12/26/2007
Last updated
02/20/2023
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