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NPI Code Detail

MEDICARE: DR. CHAD MITCHELL MOSS M.D.

MEDICARE: DR. CHAD MITCHELL MOSS M.D.
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery PhysicianMD0000051230TN

General Provider Information

NPI Number : 1932336393
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHAD MITCHELL MOSS M.D.
Provider Business Mailing Address
First Line : 410 42ND AVE N STE 400
Second Line :
City : NASHVILLE
State : TN
Zip : 37209-3658
Country : US
Telephone Number : 615-329-7887
Fax Number :
Provider Business Practice Location Address
First Line : 832 WESTOVER DR STE 200
Second Line :
City : COLUMBIA
State : TN
Zip : 38401-4843
Country : US
Telephone Number : 931-380-3033
Fax Number : 931-388-3401
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2009
Last Update Date : 09/18/2023

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Directions to “ DR. CHAD MITCHELL MOSS M.D.” Practice Location

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