Individual
MRS. VIVIENNE NYAMBURA NDUATI-MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
340 BOULEVARD NE, SUITE 145, ATLANTA, GA 30312-1273
(404) 584-7306
(404) 584-7308
Mailing address
550 PEACHTREE ST NE, SUITE 1600, ATLANTA, GA 30308-2247
(404) 881-1094
(404) 885-7777
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/14/2009
Last updated
09/13/2013
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