| S. T. Moss, M.d., P.c. | |
|
2016 Redmond Cir Nw Rome GA 30165-1322 | |
| (706) 232-6010 | |
| Not Available |
| Full Name | S. T. Moss, M.d., P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 2016 Redmond Cir Nw, Rome, Georgia |
| Authorized Official Name and Position | Seaborn Thomas Moss (PRESIDENT) |
| Authorized Official Contact | 7062326010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| S. T. Moss, M.d., P.c. 2016 Redmond Cir Nw Rome GA 30165-1322 Ph: (706) 232-6010 | S. T. Moss, M.d., P.c. 2016 Redmond Cir Nw Rome GA 30165-1322 Ph: (706) 232-6010 |
| NPI Number | 1619086857 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619086857 | NPI | - | NPPES |
| 00428304A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 021559 (Georgia) | Primary |
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