COREY MOSS

SHREVEPORT, LA
NPI1265324545
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-07-19
Last Update Date2025-07-19
Business Address
COREY MOSS MD
1501 KINGS HIGHWAY
SHREVEPORT, LA 71103
Phone number: 318-626-0434
Mailing Address
COREY MOSS MD
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: