Individual
DENISHA L MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
448 HARRIS DR, CONYERS, GA 30012-6516
(706) 254-8217
(888) 610-7172
Mailing address
448 HARRIS DR, CONYERS, GA 30012-6516
(706) 254-8217
(888) 610-7172
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
PCHP015063
GA
Other
Enumeration date
09/10/2020
Last updated
08/04/2023
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