Individual
ANITA MODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1244 W PACES FERRY RD NW, ATLANTA, GA 30327-2306
(404) 844-1500
Mailing address
1244 W PACES FERRY RD NW, ATLANTA, GA 30327-2306
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT003256
GA
261QS1000X
Student Health Clinic/Center
—
—
Other
Enumeration date
06/04/2020
Last updated
01/17/2024
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