Individual
DR. ANGELA SUE MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
126 JMZ DR, GORDONSVILLE, TN 38563-2152
(615) 683-1070
(615) 683-1079
Mailing address
126 JMZ DR, GORDONSVILLE, TN 38563-2152
(615) 683-1070
(615) 683-1079
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35031
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3874872
—
TN
Enumeration date
11/29/2006
Last updated
07/09/2007
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