Individual ProviderMosesal Zakia WhiteNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address10680 Medlock Bridge Rd #102, Johns Creek, GA 30097(770) 389-9116PECOS EnrollmentBased on the most recent information from CMS, provider Mosesal Zakia White does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 9:24 AM.Profile DetailsProvider ID1043867765Provider TypeIndividualFull NameWhite, Mosesal ZakiaGenderFemaleSole ProprietorYesEnumeration Date8/19/2019Last Updated8/11/2020Contact InformationPractice LocationPractice Address10680 Medlock Bridge Rd #102, Johns Creek, GA 30097Phone(770) 389-9116FaxUnlisted FaxMailing LocationMailing Address10680 Medlock Bridge Rd #102, Johns Creek, GA 30097Phone(770) 389-9116FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseRN208385Georgia