| NPI | 1407639677 |
|---|---|
| Doing Business As | MOSS MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL MOSS Owner 229-454-5335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2023-08-25 |