MEDICARE: MOSES MANAGEMENT & CONSULTANCY FIRM, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	332BC3200X	Customized Equipment (DME)
2	332BD1200X	Dialysis Equipment & Supplies (DME)
3	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)
4	332BX2000X	Oxygen Equipment & Supplies (DME)
5	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1326887498
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOSES MANAGEMENT & CONSULTANCY FIRM, LLC

Provider Business Mailing Address
First Line	:	1553 VIRGINIA AVE STE 201B
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30337-2898
Country	:	US
Telephone Number	:	470-736-3600
Fax Number	:	470-300-9396

Provider Business Practice Location Address
First Line	:	1553 VIRGINIA AVE STE 201B
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30337-2898
Country	:	US
Telephone Number	:	470-736-3600
Fax Number	:	470-300-9396

Authorized Official
Title or Position	:	CEO
Name	:	DR. LEE ANGELIA MOSES
Credential	:	PHD
Telephone Number	:	470-736-3600

Provider Enumeration Date	:	05/20/2024
Last Update Date	:	05/20/2024

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