Individual
SAMMEE MOSCHETTIERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1230 BAXTER ST, ATHENS, GA 30606-3712
(404) 441-0877
Mailing address
2817B DIXIE AVE, SAVANNAH, GA 31404-4109
(404) 441-0877
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
250359
GA
363L00000X
Nurse Practitioner
Primary
250359
GA
Other
Enumeration date
12/04/2020
Last updated
06/27/2023
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