Individual
DR. MARIAN MOSELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH D
Contact information
Practice address
1524 MONTE SANO AVE, AUGUSTA, GA 30904-5323
(706) 667-6767
(706) 667-6767
Mailing address
1524 MONTE SANO AVE, AUGUSTA, GA 30904-5323
(706) 667-6767
(706) 667-6767
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
001140
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009
—
SC
05
—
00344968D
—
GA
Enumeration date
07/03/2006
Last updated
07/08/2007
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