Individual
TROY MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2101 FORT HENRY DR SPC E9, KINGSPORT, TN 37664-3658
(423) 246-1585
Mailing address
2101 FORT HENRY DR SPC E9, KINGSPORT, TN 37664-3658
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3770
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/24/2022
Last updated
07/25/2022
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