| Doctor Name: | MRS. HEATHER WILLIAMS MOSELEY |
| NPI Number: | 1639370562 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 0116017633 |
| Business Practice Address: | 675 Battlefield Blvd N Chesapeake, VA - 233204900 |
| Business Phone Number: | 7574367888 |
| Business Fax Number: | 7575485669 |
| Mailing Address: | 3241 Western Branch Blvd, CHESAPEAKE |
| State: | VA |
| Postal Code: | 233215260 |
| Phone Number: | 7576863508 |
| Fax Number: | 7576860541 |
| NPI Enumeration Date: | 05/29/2007 |
| NPI Last Update Date: | 04/12/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 0116017633 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |