Individual
GERALD E. MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6590 DARLINGTON CT, CUMMING, GA 30040-6519
(770) 844-1492
Mailing address
PO BOX 1721, CUMMING, GA 30028
(770) 844-1492
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
034205
GA
Other
Enumeration date
03/14/2006
Last updated
07/08/2007
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