Individual
JULIE MILLER MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1825 MARTHA BERRY BLVD NW, ROME, GA 30165-1625
(762) 235-2030
(706) 238-8011
Mailing address
221 TECHNOLOGY PKWY NW, ROME, GA 30165-1369
(762) 235-1000
(706) 802-6151
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8189
GA
Other
Enumeration date
09/13/2016
Last updated
04/28/2020
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