Individual
ELLA HOLDEN MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1420 HIGHWAY 76, CHATSWORTH, GA 30705-6392
(706) 695-0518
Mailing address
135 BRYCE VALLEY CT SW, ADAIRSVILLE, GA 30103-3471
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH033568
GA
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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