Moss, Charles Harrelson

Moss, Charles Harrelson is an individual health care provider with primary practice located at 1825 Hurlburt Rd Ste 14 , Fort Walton Beach FL 32547-3737. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Moss, Charles Harrelson can be contacted via phone (850) 610-8820.

Contact Information

Primary practice address
1825 Hurlburt Rd Ste 14 Fort Walton Beach FL 32547-3737
Fax: (844) 297-8690
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1-104360 Alabama

Profile Details

NPI number 1841447406
LBN Legal business name Moss, Charles Harrelson
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2008
Last updated Jun 25th, 2019 - about 6 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.

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