Organization
MARIA A MOOGERFELD MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLE HOPE HADDOCK (OFFICE MANAGER)
(912) 681-7111
Entity
Organization
Contact information
Practice address
1088A BERMUDA RUN, STATESBORO, GA 30458-0858
(912) 681-7111
(912) 871-7794
Mailing address
1088A BERMUDA RUN, STATESBORO, GA 30458-0858
(912) 681-7111
(912) 871-7794
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
051893
GA
Other
Enumeration date
01/05/2011
Last updated
01/05/2011
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