Kenneth Moss, C.S.A.
NPI #1205950680 in Loganville, Georgia
Provider Information
- NPI Number
- 1205950680
- Entity Type
- Individual
- Name
- Kenneth Moss, C.S.A.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist, Other - Surgical Technologist
- Credential
- C.S.A.
- Enumeration Date
- Mar 19, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2602 FALL CREEK LDG
- City
- Loganville
- State
- Georgia
- ZIP Code
- 30052-5877
- Phone
- (404) 310-2321
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other - Surgical Technologist — Surgical Technologist |
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