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Individual

DR. FREDERICK M MOSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
249 WINTON M BLOUNT LOOP, MONTGOMERY, AL 36117
(334) 213-0036
(334) 213-0166
Mailing address
3480 PRESTON RIDGE RD STE 600, CREDENTIALING DEPT, ALPHARETTA, GA 30005-5462
(770) 300-0101
(770) 300-0429

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
00008284
AL
2085R0202X
Diagnostic Radiology Physician
2003-0375
NM
2085R0202X
Diagnostic Radiology Physician
MD37322
TN
208D00000X
General Practice Physician
Primary
MD8284
AL

Other

Enumeration date
06/20/2006
Last updated
05/24/2018
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