Individual
MICHELE LYNN MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOA
Contact information
Practice address
358 ARIZONA AVE NE, ATLANTA, GA 30307-2204
(404) 271-4372
Mailing address
358 ARIZONA AVE NE, ATLANTA, GA 30307-2204
(404) 271-4372
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
206
GA
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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