MARK MOODY

THOMASVILLE, GA
NPI1700280351
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367H00000X Anesthesiologist Assistant
(Licence: GA  7370)
Enumeration Date2014-10-10
Last Update Date2014-10-10
Business Address
-- MARK MOODY AA
915 GORDON AVE
THOMASVILLE, GA 31792-6614
Phone number: 334-279-1450
Mailing Address
-- MARK MOODY AA
PO BOX 2125
COLUMBUS, GA 31902-2125
Phone number: 334-279-1450
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