Individual
DR. SCOTT ROBERT MOSCOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1190 GRIMES BRIDGE RD, ROSWELL, GA 30075-3930
(770) 992-7620
Mailing address
1190 GRIMES BRIDGE RD, ROSWELL, GA 30075-3930
(770) 992-7620
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002765
GA
Other
Enumeration date
07/09/2013
Last updated
07/09/2013
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