Organization
JOHN B MOFFET DC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BOYD MOFFET (PRESIDENT/PROVIDER)
(912) 384-5678
Entity
Organization
Contact information
Practice address
216 COLLEGE AVE S, DOUGLAS, GA 31533-2302
(912) 384-5678
(912) 384-5510
Mailing address
216 COLLEGE AVE S, DOUGLAS, GA 31533-2302
(912) 384-5678
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR002080
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000277197C
—
GA
Enumeration date
05/21/2007
Last updated
03/14/2018
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