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Individual

DR. TERI NELSON MOAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6045 BARFIELD RD STE 100, SANDY SPRINGS, GA 30328-4402
(404) 250-3333
Mailing address
6045 BARFIELD RD STE 100, SANDY SPRINGS, GA 30328-4402

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
2015017254
MO
208200000X
Plastic Surgery Physician
Primary
97664
GA

Other

Enumeration date
06/16/2015
Last updated
03/16/2024
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