Individual
DEBORAH ELDER MOFFET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A., D.C.
Contact information
Practice address
1208 OCILLA RD, DOUGLAS, GA 31533-2220
(912) 384-6276
(912) 389-1618
Mailing address
1121 CATION DR, DOUGLAS, GA 31533-7965
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4691
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286742308O
—
GA
Enumeration date
08/10/2006
Last updated
01/15/2018
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