Individual
DR. PAUL A MOSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2410 INGLESIDE AVE, MACON, GA 31204-2036
(478) 845-7462
(855) 791-3372
Mailing address
2410 INGLESIDE AVE, MACON, GA 31204-2036
(478) 845-7462
(855) 791-3372
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
034527
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00477441D
—
GA
Enumeration date
11/08/2006
Last updated
01/23/2017
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