Individual
CHARLES W MOSELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1800 12TH ST, SUITE 1A, MERIDIAN, MS 39301-4158
(601) 703-9231
(601) 703-6794
Mailing address
1800 12TH ST, MERIDIAN, MS 39301-4158
(601) 703-4282
(601) 703-4597
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R780571
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00486265
—
MS
Enumeration date
08/08/2007
Last updated
11/08/2013
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