Individual
MRS. COURTNEY DIANNE MOUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-1000
Mailing address
172 E CLINTON ST, GRAY, GA 31032-5655
(478) 972-4024
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN288184
GA
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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