Organization
LYONS FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MILTON MOODY M.D. (OWNER)
(912) 526-0073
Entity
Organization
Contact information
Practice address
113 MOODY CIR, LYONS, GA 30436-1428
(912) 526-0073
Mailing address
113 MOODY CIR, LYONS, GA 30436-1428
(912) 526-0073
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
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