Organization
MOODY SURGICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MOODY MD (FOUNDER/OWNER)
(409) 877-8875
Entity
Organization
Contact information
Practice address
3540 DULUTH PARK LN STE 290, DULUTH, GA 30096
(706) 489-9623
Mailing address
7635 BLANDFORD PL, ATLANTA, GA 30350-5603
(770) 676-6873
(770) 676-6876
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/09/2018
Last updated
11/05/2023
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