Individual
JAMES E. MOSSELL III
Active
Individual
JAMES E. MOSSELL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
044028
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000752056B
—
GA
05
—
000752056E
—
GA
01
—
044028
LICENSE
GA
01
—
66BBBJF
MEDICARE
GA
Enumeration date
08/24/2006
Last updated
12/01/2020
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