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Individual

DR. JOHN BOYD MOFFET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
216 COLLEGE AVE S, DOUGLAS, GA 31533-2302
(912) 384-5678
(912) 384-5510
Mailing address
216 COLLEGE AVE S, DOUGLAS, GA 31533-2302
(912) 384-5678

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2080
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000277197C
GA
Enumeration date
02/17/2006
Last updated
06/16/2018
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