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Individual

CARLSON D MOSS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
NAVAL BRANCH MEDICAL CLINIC PASCAGOULA, PASCAGOULA, MS 39595-0001
(228) 761-2367
Mailing address
1860 SEA PINES LN, ORANGE PARK, FL 32003-8362

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary

Other

Enumeration date
01/24/2006
Last updated
07/08/2007
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