Organization
CORRECTIONA MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCUS MOSELEY M.D (CHIEF MEDICAL OFFICER)
(404) 853-2097
Entity
Organization
Contact information
Practice address
205 MCINTOSH PLACE DR, FAYETTEVILLE, GA 30214-7384
(770) 719-3319
Mailing address
205 MCINTOSH PLACE DR, FAYETTEVILLE, GA 30214-7384
(770) 719-3319
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
RN113001
GA
Other
Enumeration date
06/18/2008
Last updated
06/18/2008
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