Individual
DR. CHASE MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1544 BASS RD, MACON, GA 31210-7510
(478) 471-4494
Mailing address
235 PAYNE HILL DR, CLAYTON, GA 30525-4120
(404) 374-2860
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
028652
GA
Other
Enumeration date
09/23/2022
Last updated
09/23/2022
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