Individual
ALECIA MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1826 HEATHERS WAY, AUGUSTA, GA 30906-8109
(706) 631-6320
Mailing address
1826 HEATHERS WAY, AUGUSTA, GA 30906-8109
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
244087
SC
Other
Enumeration date
07/29/2018
Last updated
07/29/2018
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