Individual
MRS. CAROL CLARK MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1401 RIVER RD, GREENWOOD, MS 38930-4030
(662) 459-7000
(662) 459-1310
Mailing address
PO BOX 1410, GREENWOOD, MS 38935-1410
(662) 453-7000
(662) 459-1310
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903410
MS
Other
Enumeration date
07/04/2019
Last updated
07/04/2019
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