Individual
DR. CASEY NELSON MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
41698
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3833133
—
TN
01
—
4145794
BCBS
TN
Enumeration date
12/11/2006
Last updated
11/12/2024
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