Individual
DR. RON MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
HOSPITAL ROAD, FORT GORDON, GA 30907
(706) 787-7030
Mailing address
188 STONE MILL DRIVE, MARTINEZ, GA 30905
(706) 860-7396
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036827
GA
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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