Individual provider · Type 1 NPI

Charlotte Baker Moss, PA-C

Surgical Physician Assistant · Jackson, MS

NPI number 1700338704 Active

Practice location

501 Marshall St Ste G07
Jackson, MS 39202-1651

Call (601) 968-3238 Map

Fax (601) 968-3237

Mailing address

965 Ridge Lake Blvd Ste 103
Memphis, TN 38120-9446

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA00329 (MS)
Surgical Physician Assistant Primary 363AS0400XPA00329 (MS)

Surgical Physician Assistant: Definition to come...

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About NPI 1700338704

Charlotte Baker Moss, PA-C's National Provider Identifier is 1700338704, issued on Oct 26, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Jackson, MS. The record was last updated on Aug 27, 2019.