Individual
KARLY MARIE KINCAID MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3850 PLEASANT HILL RD, DULUTH, GA 30096-4807
(770) 814-8222
(678) 205-5111
Mailing address
1180 RESURGENCE DR, STE 100, WATKINSVILLE, GA 30677-7211
(706) 543-5858
(706) 543-2050
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006687
GA
Other
Enumeration date
02/12/2013
Last updated
09/28/2021
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