Individual
SUSAN LESLIE MOSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
318 BROAD ST, ROME, GA 30161-3006
(770) 548-0172
Mailing address
318 BROAD ST, ROME, GA 30161-3006
(770) 548-0172
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
292
GA
Other
Enumeration date
08/16/2007
Last updated
11/16/2015
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