Individual
ROCKSAN MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
508 N MAIN ST, HINESVILLE, GA 31313-2534
(801) 773-8644
(844) 848-5854
Mailing address
508 N MAIN ST, HINESVILLE, GA 31313-2534
(844) 848-5854
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004380
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10059174
AMERIGROUP
GA
05
—
638560621A
—
GA
05
—
638560621C
—
GA
05
—
638560621D
—
GA
05
—
638560621E
—
GA
01
—
9603746-1206
STATE LICENSE
UT
Enumeration date
03/23/2006
Last updated
05/19/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us