Individual
KWELI AYO MOYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2525 CUMBERLAND PKWY SE, BEHAVIORAL HEALTH DEPARTMENT, ATLANTA, GA 30339-3915
(404) 365-0966
Mailing address
3495 PIEDMONT RD NE, TSPMG NINE PIEDMONT CENTER, ATLANTA, GA 30305-1717
(404) 364-7070
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
056899
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
826937519B
—
GA
Enumeration date
06/09/2006
Last updated
01/07/2022
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