Provider Demographics
NPI:1407112089
Name:PRESSLEY-MOSS, ALICIA MARIE (MD)
Entity Type:Individual
Prefix:MRS
First Name:ALICIA
Middle Name:MARIE
Last Name:PRESSLEY-MOSS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:401 ALCORN DR
Mailing Address - Street 2:SUITE 2E
Mailing Address - City:CORINTH
Mailing Address - State:MS
Mailing Address - Zip Code:38834-9072
Mailing Address - Country:US
Mailing Address - Phone:662-293-7390
Mailing Address - Fax:662-293-7399
Practice Address - Street 1:401 ALCORN DR
Practice Address - Street 2:SUITE 2E
Practice Address - City:CORINTH
Practice Address - State:MS
Practice Address - Zip Code:38834-9072
Practice Address - Country:US
Practice Address - Phone:662-293-7390
Practice Address - Fax:662-293-7399
Is Sole Proprietor?:No
Enumeration Date:2012-04-08
Last Update Date:2021-05-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MS23641208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics