Individual
PATRICIA MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.,M.P.H.
Contact information
Practice address
564 RIDGECREST RD NE, ATLANTA, GA 30307-1846
(404) 377-3777
Mailing address
564 RIDGECREST RD NE, ATLANTA, GA 30307-1846
(404) 377-3777
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
70253
GA
Other
Enumeration date
10/31/2014
Last updated
10/31/2014
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