Individual
MRS. ANDREA D MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1921 ALICE ST, 4B, WAYCROSS, GA 31501-6200
(912) 285-5690
Mailing address
1921 ALICE ST, 4B, WAYCROSS, GA 31501-6200
(912) 285-5690
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN055947 NP
GA
Other
Enumeration date
06/23/2006
Last updated
02/01/2022
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