Individual
DR. RYAN BRETT MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
11700 MERCY BLVD, BLDG. #5, SAVANNAH, GA 31419-1753
(912) 927-6270
(912) 927-6254
Mailing address
340 HODGSON CT, SUITE #2, SAVANNAH, GA 31406-1520
(912) 629-2290
(912) 629-2291
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
59284
GA
207RP1001X
Pulmonary Disease Physician
Primary
59284
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
696088793A
—
GA
01
—
P00619290
RAILROAD MEDICARE
GA
Enumeration date
04/10/2007
Last updated
05/10/2016
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