Individual
DR. LINDA HAYS MOSELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4660 KENMORE AVE STE 419, ALEXANDRIA, VA 22304-1306
(703) 481-1811
(703) 921-1840
Mailing address
4660 KENMORE AVE STE 419, ALEXANDRIA, VA 22304-1306
(703) 481-1811
(703) 921-1840
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101030954
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001 9138
CAREFIRST BCBS PROVIDER #
VA
01
—
066131
ANTHEM PROVEDER #
VA
01
—
149493500
DEPT OF LABOR ID #
VA
01
—
4054272
AETNA PPO
VA
01
—
541345876
TAX ID #
VA
01
—
AETNA PPO
4054272
VA
Enumeration date
12/11/2006
Last updated
11/20/2020
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