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Individual
DR. KATHERINE RUSSELL MOODY
Active
Individual
DR. KATHERINE RUSSELL MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0116025003
VA
207Q00000X
Family Medicine Physician
077163
GA
207Q00000X
Family Medicine Physician
Primary
36193
AL
Other
Enumeration date
06/21/2012
Last updated
07/16/2018
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