Moody, Andrea D
Moody, Andrea D is an individual health care provider with primary practice located at 1921 Alice St 4B, Waycross GA 31501-6200. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Moody, Andrea D can be contacted via phone (912) 285-5690.Contact Information
Primary practice address
1921 Alice St 4B
Waycross GA 31501-6200
Phone: (912) 285-5690
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN055947 NP | Georgia |
Profile Details
| NPI number | 1285660365 |
|---|---|
| LBN Legal business name | Moody, Andrea D |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2006 |
| Last updated | Feb 1st, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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