Individual
CASSIE RAE MOSELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 TYSON AVE, PARIS, TN 38242-4544
(731) 642-1220
Mailing address
24 BLACK OAK DR, PARIS, TN 38242-8032
(731) 608-6582
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
37486
TN
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
37486
TN
207LP2900X
Pain Medicine (Anesthesiology) Physician
37486
TN
207LP3000X
Pediatric Anesthesiology Physician
37486
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37486
APRN NUMBER
TN
Enumeration date
10/25/2024
Last updated
10/25/2024
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