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Individual

DR. CASEY NELSON MOSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1817 W MORRIS BLVD, MORRISTOWN, TN 37813-2837
(423) 581-3904
(423) 581-6120
Mailing address
1275 DICK LONAS RD UNIT 101, KNOXVILLE, TN 37909-1383
(865) 584-4747
(865) 584-1363

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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