Moss, Jason Fondren

Moss, Jason Fondren is an sole proprietor health care provider with primary practice located at 4 Medical Blvd , Hattiesburg MS 39401. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Moss, Jason Fondren can be contacted via phone (601) 579-5444.

Contact Information

Primary practice address
4 Medical Blvd Hattiesburg MS 39401
Phone: (601) 579-5444
Fax: (601) 579-3083
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 04083 Kentucky
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 26163 Mississippi

Profile Details

NPI number 1235558149
LBN Legal business name Moss, Jason Fondren
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 8th, 2014
Last updated Mar 1st, 2019 - about 6 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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