| Kelvin Moss Md Pc | |
|
83 Southside Church St Ellijay GA 30540-5400 | |
| (706) 636-6677 | |
| Not Available |
| Full Name | Kelvin Moss Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 83 Southside Church St, Ellijay, Georgia |
| Authorized Official Name and Position | Kelvin Moss (OWNER) |
| Authorized Official Contact | 7066366677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelvin Moss Md Pc 83 Southside Church St Ellijay GA 30540-5400 Ph: (706) 636-6677 | Kelvin Moss Md Pc 83 Southside Church St Ellijay GA 30540-5400 Ph: (706) 636-6677 |
| NPI Number | 1306003603 |
|---|---|
| Provider Enumeration Date | 05/22/2008 |
| Last Update Date | 09/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306003603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | GA 054634 (Georgia) | Primary |
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