Individual
ANGELA M BODIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
406 CARRINGTON GREEN PKWY, MCDONOUGH, GA 30252-7693
(718) 443-4650
Mailing address
406 CARRINGTON GREEN PKWY, MCDONOUGH, GA 30252-7693
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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