JORDAN MOSES

PHENIX CITY, AL
NPI1447607528
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2083S0010X Preventive Medicine, Sports Medicine
(Licence: GA  AT002893)
Enumeration Date2016-05-19
Last Update Date2016-05-19
Business Address
Mr. JORDAN MOSES ATC, CSCS, USAW
1800 LAKEWOOD DR APT S4
PHENIX CITY, AL 36867-1867
Phone number: 812-760-9985
Mailing Address
Mr. JORDAN MOSES ATC, CSCS, USAW
1800 LAKEWOOD DR APT S4
PHENIX CITY, AL 36867-1867
Phone number: 812-760-9985