Individual
DR. RAYMOND AVERY MOODY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
348 ENTERPRISE DR STE B, VALDOSTA, GA 31601-5697
(229) 293-0132
Mailing address
504 GORNTO RD, VALDOSTA, GA 31602-1602
(229) 253-1267
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
051990
GA
207Q00000X
Family Medicine Physician
51990
GA
Other
Enumeration date
05/18/2007
Last updated
08/13/2024
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