Individual
DR. MANDY SAMPSON MOYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
603 WHEAT AVE, SUITE 450, BAINBRIDGE, GA 39819-4360
(229) 246-1209
(229) 243-7707
Mailing address
603 WHEAT AVE, SUITE 450, BAINBRIDGE, GA 39819-4360
(229) 246-1209
(229) 243-7707
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
65589
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003107067A
—
GA
01
—
065589
MEDICAL LICENSE
GA
Enumeration date
06/24/2008
Last updated
09/13/2017
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