Individual
DR. EMMANUEL MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 778-4038
Mailing address
1300 WILDCLIFF PKWY NE, ATLANTA, GA 30329-3462
(404) 904-6111
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
67690
GA
Other
Enumeration date
07/03/2012
Last updated
07/03/2012
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