Organization
PSYCHIATRIC HEALTH 1, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE T MOSES D.O (OWNER PROVIDER)
(740) 450-7620
Entity
Organization
Contact information
Practice address
573 BROOKOVER AVE, ZANESVILLE, OH 43701-2101
(740) 450-7620
(740) 450-7618
Mailing address
573 BROOKOVER AVE, ZANESVILLE, OH 43701-2101
(740) 450-7620
(740) 450-7618
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
34007515M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000222217
ANTHEM GROUP #
OH
01
—
DA7133
RR MEDICARE
OH
Enumeration date
11/10/2006
Last updated
08/22/2020
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