Individual
GROVER CLEVELAND MOSELEY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1960 MAIN ST E, SNELLVILLE, GA 30078-6466
(770) 972-4448
Mailing address
1960 MAIN ST E, SNELLVILLE, GA 30078-6466
(770) 972-4448
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
013217
GA
Other
Enumeration date
11/26/2020
Last updated
11/26/2020
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