Individual
MRS. DEBRA CAROL MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3965 GREENSIDE CT, DACULA, GA 30019-4595
(770) 831-3511
Mailing address
3965 GREENSIDE CT, DACULA, GA 30019-4595
(770) 831-3511
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN138834
GA
Other
Enumeration date
06/14/2007
Last updated
07/08/2007
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