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Individual

CANDACE E MOODY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4200 NORTHSIDE PKWY NW STE 200, ATLANTA, GA 30327-3007
(404) 448-2725
Mailing address
215 E MANSION ST, SUITE 3E, MARSHALL, MI 49068-1559
(269) 781-4267
(269) 781-2710

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301085398
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
481573
MI
Enumeration date
06/06/2006
Last updated
06/23/2022
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