Individual
TERRY LEE MOOTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
11705 MERCY BLVD, SAVANNAH, GA 31419-1711
(912) 819-4100
Mailing address
208 FALLIGANT AVE, SAVANNAH, GA 31410-1414
(319) 239-2743
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
11210
GA
367H00000X
Anesthesiologist Assistant
—
—
Other
Enumeration date
09/13/2022
Last updated
05/17/2024
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