Mosley, Nicholas A

Mosley, Nicholas A is an individual health care provider with primary practice located at 6118 Covington Hwy Suite E, Lithonia GA 30058-3530. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mosley, Nicholas A can be contacted via phone (770) 593-8249.

Contact Information

Primary practice address
6118 Covington Hwy Suite E Lithonia GA 30058-3530
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN009955 Georgia

Profile Details

NPI number 1952498842
LBN Legal business name Mosley, Nicholas A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952498842 NPPES
Georgia MEDICAID 00348884M

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