Individual
KACEY M MOSELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3785 SIXES RD, CANTON, GA 30114-7809
(866) 389-2727
Mailing address
3785 SIXES RD, CANTON, GA 30114-7809
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN216500
GA
Other
Enumeration date
08/08/2019
Last updated
10/15/2023
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