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Individual

ASHLEY MOSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
80 JESSE HILL DR SE, ATLANTA, GA 30303-3030
(404) 616-5525
Mailing address
8730 PUETT DR, DOUGLASVILLE, GA 30135-7549
(251) 709-2591

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95005755
CA

Other

Enumeration date
01/24/2017
Last updated
08/02/2021
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