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Organization
LIFE CARE FAMILY PRACTICE
Active
Organization
LIFE CARE FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL MOODY M.D. (DOCTOR/OWNER)
(770) 949-9804
Entity
Organization
Contact information
Practice address
8464 ADAIR ST, DOUGLASVILLE, GA 30134-1839
(770) 949-9804
(770) 949-9842
Mailing address
8464 ADAIR ST, DOUGLASVILLE, GA 30134-1839
(770) 949-9804
(770) 949-9842
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/04/2011
Last updated
05/08/2024
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