Individual
NATHANIEL KENNETH MOSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-2621
(706) 721-8623
Mailing address
1120 15TH ST # OR6000, AUGUSTA, GA 30912-0004
(706) 721-3813
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
266751
MA
2080P0203X
Pediatric Critical Care Medicine Physician
266751
MA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
85630
GA
208M00000X
Hospitalist Physician
266751
MA
Other
Enumeration date
03/19/2013
Last updated
05/15/2023
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