Individual
MR. MICHAEL L. MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
935 PINEY GROVE RD, WHIGHAM, GA 39897-3125
(229) 762-4675
(229) 762-4675
Mailing address
935 PINEY GROVE RD, WHIGHAM, GA 39897-3125
(229) 762-4675
(229) 762-4675
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
GA
Other
Enumeration date
08/30/2013
Last updated
08/30/2013
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