Individual
LACEY MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1001 JOHNSON FERRY RD, ATLANTA, GA 30342-1605
(404) 785-5097
Mailing address
200 SPALDING CIR, ATLANTA, GA 30328-2607
Taxonomy
Speciality
Code
Description
License number
State
208U00000X
Clinical Pharmacology Physician
Primary
RPH027842
GA
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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