Organization
JAMES MOSS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MOSS M.D. (OWNER)
(502) 244-0923
Entity
Organization
Contact information
Practice address
1105 JULIANNA CT, SUITE 1, ELIZABETHTOWN, KY 42701-7937
(270) 763-0030
(270) 763-0050
Mailing address
1105 JULIANNA CT, SUITE 1, ELIZABETHTOWN, KY 42701-7937
(270) 763-0030
(270) 763-0050
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/26/2011
Last updated
12/05/2011
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