| Jerry V. Mosley M.d., P.c. | |
|
701 19th St E Jasper AL 35501-5503 | |
| (205) 221-1516 | |
| (205) 387-9539 |
| Full Name | Jerry V. Mosley M.d., P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 701 19th St E, Jasper, Alabama |
| Authorized Official Name and Position | Jerry V Mosley (M.D.) |
| Authorized Official Contact | 2052211516 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry V. Mosley M.d., P.c. 701 19th St E Jasper AL 35501-5503 Ph: (205) 221-1516 | Jerry V. Mosley M.d., P.c. 701 19th St E Jasper AL 35501-5503 Ph: (205) 221-1516 |
| NPI Number | 1881253243 |
|---|---|
| Provider Enumeration Date | 06/10/2019 |
| Last Update Date | 06/10/2019 |
| Medicare PECOS PAC ID | 7012246317 |
|---|---|
| Medicare Enrollment ID | O20191209003027 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881253243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jerry V Mosley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821106592 PECOS PAC ID: 4789647710 Enrollment ID: I20041110000347 |
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