Jason Fondren Moss, DO Valid NPI
Individual provider · Infectious Disease Physician · Hattiesburg, MS
- NPI
- 1235558149
- Type
- Individual (Type 1)
- Primary specialty
- Infectious Disease Physician (Internal Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207RI0200X
- License number
- 26163 (MS)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2014-04-08
- Last updated
- 2019-03-01
Practice location
4 Medical Blvd
Hattiesburg, MS 39401
(601) 579-5444