S. T. Moss, M.D., P.C.
Family Medicine in Rome, GA. Organization (NPI-2).
NPI number1619086857
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1619086857
- Entity type
- Organization (NPI-2)
- Legal business name
- S. T. Moss, M.D., P.C.
- Organization subpart
- No
- Enumeration date
- Aug 30, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 021559 | GA | Yes |
Practice location
2016 Redmond Cir NwRome, GA 30165-1322
Phone 706-232-6010
Mailing address
2016 Redmond Cir NwRome, GA 30165-1322
Phone 706-232-6010
Authorized official
Seaborn Thomas Moss
President
7062326010
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