Individual
AMBER MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
240 MEDICAL PARK BLVD STE 3000, BRISTOL, TN 37620-7352
(423) 990-2400
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2066
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0102207261
VA
207Q00000X
Family Medicine Physician
117-T2
WY
207Q00000X
Family Medicine Physician
Primary
DO4807
TN
Other
Enumeration date
05/07/2015
Last updated
06/02/2023
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