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Individual

ROGER H MOSS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1201 SOMERVILLE RD SE, DECATUR, AL 35601
(256) 350-0909
(256) 355-1528
Mailing address
1201 SOMERVILLE RD SE, DECATUR, AL 35601
(256) 350-0909
(256) 355-1528

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
9919
AL
207Q00000X
Family Medicine Physician
Primary
9919
AL

Other

Enumeration date
06/17/2006
Last updated
05/25/2010
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