Individual
DR. SEABORN THOMAS MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2016 REDMOND CIR NW, ROME, GA 30165-1322
(706) 232-6010
(706) 234-4971
Mailing address
2016 REDMOND CIR NW, ROME, GA 30165-1322
(706) 232-6010
(706) 234-4971
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
021559
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000428304B
—
GA
01
—
P00650906
RR MEDICARE
GA
Enumeration date
11/06/2007
Last updated
08/29/2012
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