Individual
GRANT HERRON MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
450 NORTHSIDE CHEROKEE BLVD, CANTON, GA 30115-8015
(770) 224-1000
(770) 224-2451
Mailing address
450 NORTHSIDE CHEROKEE BLVD, CANTON, GA 30115-8015
(770) 224-1000
(770) 224-2451
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
38192
AL
208M00000X
Hospitalist Physician
Primary
95843
GA
Other
Enumeration date
05/21/2017
Last updated
07/12/2023
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