Individual
JOHN BRYAN MOSELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
705 S LEWIS ST, METTER, GA 30439-5128
(912) 685-6337
(912) 685-6327
Mailing address
4809 PULASKI RD, STATESBORO, GA 30458-8802
(912) 852-4007
(912) 685-2388
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
021744
GA
332B00000X
Durable Medical Equipment & Medical Supplies
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003142233A
—
GA
Enumeration date
03/10/2011
Last updated
12/30/2022
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