Provider Demographics
NPI:1891425963
Name:MOSS, ASHTON (AUD)
Entity type:Individual
Prefix:DR
First Name:ASHTON
Middle Name:
Last Name:MOSS
Suffix:
Gender:
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1410 CHATTANOOGA AVE
Mailing Address - Street 2:
Mailing Address - City:DALTON
Mailing Address - State:GA
Mailing Address - Zip Code:30720-2616
Mailing Address - Country:US
Mailing Address - Phone:706-226-4623
Mailing Address - Fax:706-226-0580
Practice Address - Street 1:1410 CHATTANOOGA AVE
Practice Address - Street 2:
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30720-2616
Practice Address - Country:US
Practice Address - Phone:706-226-4623
Practice Address - Fax:706-226-0580
Is Sole Proprietor?:No
Enumeration Date:2022-06-13
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4232231H00000X
GAAUD004437231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist