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Individual

TERRANCE M MOSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
2341 MCCALLIE AVE, SUITE 402, CHATTANOOGA, TN 37404-3239
(423) 698-3309
(423) 624-6355
Mailing address
PO BOX 3549, CHATTANOOGA, TN 37404-0549
(412) 698-3309
(423) 624-6355

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN12238
TN
367500000X
Certified Registered Nurse Anesthetist
RN87058
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3644373
TN
01
4138165
BCBSTN
TN
01
P00366412
RAILROAD MEDICARE
Enumeration date
10/04/2006
Last updated
06/18/2008
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