License holder summary

MOSS, TARA MARIE is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for MOSS, TARA MARIE is 711 INWOOD DR., SOUTHLAKE 76092. This doctor license is current. The license was granted 09/01/2005 and expired on 02/28/2018.

Georgia

Composite Medical Board

MOSS, TARA MARIE
Medical - Physician Assistant
License number
004596
Date granted
09/01/2005
Date expires
02/28/2018
Class
Medical - Physician Assistant
Status
Active
Address
711 INWOOD DR.
georgiadoctors.net
ID 38100345
LAST UPDATED 2024-03-05 13:44:07 UTC

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