| Moss Medical Clinic | |
|
530 S Houston Lake Rd Warner Robins GA 31088-6308 | |
| (478) 666-3377 | |
| Not Available |
| Full Name | Moss Medical Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 530 S Houston Lake Rd, Warner Robins, Georgia |
| Authorized Official Name and Position | Michael Moss (OWNER) |
| Authorized Official Contact | 2294545335 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Moss Medical Clinic 530 S Houston Lake Rd Warner Robins GA 31088-6308 Ph: (478) 666-3377 | Moss Medical Clinic 530 S Houston Lake Rd Warner Robins GA 31088-6308 Ph: (478) 666-3377 |
| NPI Number | 1407639677 |
|---|---|
| Provider Enumeration Date | 08/14/2023 |
| Last Update Date | 08/25/2023 |
| Medicare PECOS PAC ID | 7214382001 |
|---|---|
| Medicare Enrollment ID | O20231013002925 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407639677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Michael G Moss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851554935 PECOS PAC ID: 5092986679 Enrollment ID: I20110913000366 |
| Provider Name | Rachel Lee Peterson Moss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811302029 PECOS PAC ID: 2365756558 Enrollment ID: I20150731016176 |
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