Mosley, Jay
Mosley, Jay is an sole proprietor health care provider with primary practice located at 160 S Victory Dr , Lyons GA 30436-1444. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Mosley, Jay can be contacted via phone (912) 526-8531.Contact Information
Primary practice address
160 S Victory Dr
Lyons GA 30436-1444
Phone: (912) 526-8531
Fax: (912) 526-0248
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 12609 | Georgia |
Profile Details
| NPI number | 1861552887 |
|---|---|
| LBN Legal business name | Mosley, Jay |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861552887 | NPPES |
| Georgia | Other | 12609 | STATE LICENSE # |
| Georgia | Other | 1111525 | STATE LICENSE # |
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