Individual
ANN CHILDERS MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4450 ROCKMART RD SE, SILVER CREEK, GA 30173-2438
(706) 292-0106
(706) 292-0647
Mailing address
31 BRIDGEVIEW DR SE, ROME, GA 30161-8472
(706) 331-0815
(706) 292-0647
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017632
GA
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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