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Individual

DR. CHARLES A MOSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
95 SEABOARD LN STE 201, BRENTWOOD, TN 37027-3040
(615) 261-1214
(833) 973-3532
Mailing address
PO BOX 26194, BELFAST, ME 04915-2012
(615) 261-1214
(833) 973-3532

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20542
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3894337
TN
Enumeration date
06/30/2006
Last updated
01/09/2025
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