Individual
MRS. JODY ANN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
405 LOVE AVE, TIFTON, GA 31794-4403
(229) 402-7188
Mailing address
2608 MURRAY AVE, TIFTON, GA 31794-2823
(229) 392-5753
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP003738
GA
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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