Individual
SALLY MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN REGISTERED NURSE
Contact information
Practice address
1031 W MADISON AVE, ATHENS, TN 37303-3498
(423) 745-6575
(423) 746-4366
Mailing address
1031 W MADISON AVE, ATHENS, TN 37303-3498
(423) 745-6575
(423) 746-4366
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
22398
TN
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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