Moss, Harold William

Moss, Harold William is an individual health care provider with primary practice located at 1101 Hospital Dr Ste 100A, Stockbridge GA 30281-9076. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Moss, Harold William can be contacted via phone (770) 474-7416.

Contact Information

Primary practice address
1101 Hospital Dr Ste 100A Stockbridge GA 30281-9076
Phone: (770) 474-7416
Fax: (770) 389-6210
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 018054 Georgia

Profile Details

NPI number 1598761280
LBN Legal business name Moss, Harold William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Jan 4th, 2010 - about 16 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 1598761280 NPPES
Georgia MEDICAID 00088613

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