Individual
VICTORIA JOYCE MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.D., M.P.H.
Contact information
Practice address
189 PARADISE BLVD, ATHENS, GA 30607-1121
(706) 338-9185
Mailing address
1340 PALOMINO PASS, BOGART, GA 30622-2889
(706) 583-2859
(706) 543-2034
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
Primary
LD000807
GA
133NN1002X
Nutrition Education Nutritionist
LD000807
GA
Other
Enumeration date
05/29/2007
Last updated
05/07/2013
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