Organization
SOLAR FAMILY PRACTICE AND PAIN MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD J MOODY (ADMINISTRATOR)
(912) 265-5994
Entity
Organization
Contact information
Practice address
122 SCRANTON CONNECTOR, SUITE 112, BRUNSWICK, GA 31525-0533
(912) 265-5994
(912) 265-5999
Mailing address
122 SCRANTON CONNECTOR, SUITE 112, BRUNSWICK, GA 31525-0533
(912) 265-5994
(912) 265-5999
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
04/20/2012
Last updated
04/20/2012
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