Individual
MRS. LEAH MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
881 USS JAMES MADISON RD, KINGS BAY, GA 31547-2531
(912) 573-4206
Mailing address
881 USS JAMES MADISON RD, KINGS BAY, GA 31547-2531
(912) 573-4206
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/24/2008
Last updated
06/10/2011
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