Organization
S. T. MOSS, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEABORN THOMAS MOSS M.D. (PRESIDENT)
(706) 232-6010
Entity
Organization
Contact information
Practice address
2016 REDMOND CIR NW, ROME, GA 30165-1322
(706) 232-6010
Mailing address
2016 REDMOND CIR NW, ROME, GA 30165-1322
(706) 232-6010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
021559
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00428304A
—
GA
Enumeration date
08/30/2006
Last updated
08/22/2020
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