Individual
CHARLOTTE ANNETTE MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
14634 SAINT STEPHENS AVE, CHATOM, AL 36518-6711
(251) 847-6262
(251) 847-6277
Mailing address
PO BOX 724, CHATOM, AL 36518-0724
(251) 589-3110
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1-141985
AL
Other
Enumeration date
09/11/2020
Last updated
05/05/2025
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