Individual
TASCHECKA MORVIA MOODIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
5670 PEACHTREE DUNWOODY RD STE 880, ATLANTA, GA 30342-4789
(404) 256-2525
(404) 256-9589
Mailing address
PO BOX 303, CLARKSTON, GA 30021-0303
(404) 256-2525
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN228769
GA
Other
Enumeration date
01/16/2020
Last updated
03/09/2020
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