Most Relevant Information
Provider Data
| NPI Number: | 1003527839 |
| Provider Name: | PATRICK GRANT MOSS |
| Entity Type: | Individual |
| Taxonomy Code: | 163WC0200X |
| Specialty: | Registered Nurse |
| License Number: | RN296139 |
Most Important Dates
| Enumeration Date: | 12/13/2022 |
| Last Updated: | 12/13/2022 |
Provider Practice Location
315 HOSPITAL DR
MADISON
TN
371155030
Practice Location Phone/Fax
| Phone: | 6157327662 |
| Fax: |
Provider Mailing Location
315 HOSPITAL DR
MADISON
TN
371155030
Provider Mailing Phone/Fax
| Phone: | 6157327662 |
| Fax: |