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Individual

MS. REGINA LASHAUN MOSLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
3421 MIKE PADGETT HIGHWAY, SERENITY BEHAVIORAL HEALTH, AUGUSTA, GA 30906
(706) 432-4900
Mailing address
3421 MIKE PADGETT HIGHWAY, SERENITY BEHAVIORAL HEALTH, AUGUSTA, GA 30906
(706) 432-4900

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN214848
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000606317B
GA
Enumeration date
07/01/2011
Last updated
07/01/2011
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