SearchGeorgia101Y00000X

Kenyada Moss

NPI 1275056566 · on the registry since 2017 · sole proprietor

Practice

Address
762 Thurmond Dr.
Macon, GA 31204
Phone
(770) 570-0595

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia