Individual
HEATHER KATHERINE MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4005 FOUNTAIN VALLEY DR, SUITE 450, KNOXVILLE, TN 37918-5327
(865) 922-5870
(865) 922-5872
Mailing address
1928 ALCOA HWY STE B300, KNOXVILLE, TN 37920-1505
(865) 305-9799
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD39160
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3333707
—
TN
Enumeration date
06/17/2006
Last updated
02/17/2012
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