MICHAEL SHANNON MOODY

DOUGLASVILLE, GA
NPI1952466583
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: GA  037626)
Enumeration Date2006-12-26
Last Update Date2023-08-31
Business Address
MICHAEL SHANNON MOODY MD
8464 ADAIR SREET
DOUGLASVILLE, GA 30134-1877
Phone number: 770-949-9804
Mailing Address
MICHAEL SHANNON MOODY MD
8464 ADAIR ST
DOUGLASVILLE, GA 30134-1839
Phone number: 770-949-9804
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