Individual
DR. DEVERA MOELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
201 HOSPITAL RD, CANTON, GA 30114-2408
(770) 721-4190
(770) 720-5455
Mailing address
900 BEAUMONT CT, CANTON, GA 30114-8186
(770) 721-4190
(770) 720-5455
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
PHH004103
GA
Other
Enumeration date
09/19/2016
Last updated
09/19/2016
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