Individual
DR. CATHERINE ROBERTS MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4805 BRIARCLIFF RD NE STE 104, ATLANTA, GA 30345-2737
(770) 414-9282
Mailing address
4805 BRIARCLIFF RD NE STE 104, ATLANTA, GA 30345-2737
(770) 414-9282
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9316
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000386625A
—
GA
Enumeration date
06/06/2006
Last updated
11/14/2012
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