Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Zachary Gordon Moss

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417507393

Zachary Gordon Moss is a Student in an Organized Health Care Education/Training Program in Columbus, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2019
Specialties on file
2

Practice location Address checks out

223 Pine Branch Cir
Columbus, GA 31909-2121
Phone: (706) 566-2569
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (GA)

Record details

NPI number1417507393
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 12, 2019
Last updated in NPPESSeptember 12, 2019

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