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Individual

MR. DUANE CARSON MOODY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-C

Contact information

Practice address
659 AUBURN AVE NE STE 156, ATLANTA, GA 30312-1976
(404) 888-0228
(404) 888-0552
Mailing address
659 AUBURN AVE NE STE 156, ATLANTA, GA 30312-1976
(404) 888-0228
(404) 888-0552

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN215535
GA

Other

Enumeration date
06/19/2017
Last updated
03/02/2020
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