Individual
BRADLEY MOSHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1325 SATELLITE BLVD NW BLDG 400, SUWANEE, GA 30024-4651
(678) 263-3080
Mailing address
4835 CLARKSTONE DR, FLOWERY BRANCH, GA 30542-3326
(678) 897-8408
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN256219
GA
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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