JOHNNY BURTON MOODY

GASTONIA, NC
NPI1326488875
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NC  5006262)
Enumeration Date2013-06-28
Last Update Date2013-06-28
Business Address
-- JOHNNY BURTON MOODY FNP-BC
3680 ROBINWOOD RD
GASTONIA, NC 28054-1676
Phone number: 704-869-9701
Mailing Address
-- JOHNNY BURTON MOODY FNP-BC
6903 PARK SHARON CT
CHARLOTTE, NC 28210-4612
Phone number: 828-279-5381
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