Moody, Lisa Carolyn
Moody, Lisa Carolyn is an individual health care provider with primary practice located at 3540 Duluth Park Ln Ste 290 , Duluth GA 30096-8511. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is her primary health care specialty. Moody, Lisa Carolyn can be contacted via phone (706) 489-9623.Contact Information
Primary practice address
3540 Duluth Park Ln Ste 290
Duluth GA 30096-8511
Phone: (706) 489-9623
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | A129944 | California |
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | P6470 | Texas |
| Allopathic & Osteopathic Physicians / Surgery of the Hand | 2082S0105X | 79247 | Georgia |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 79247 | Georgia |
Profile Details
| NPI number | 1598923021 |
|---|---|
| LBN Legal business name | Moody, Lisa Carolyn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2008 |
| Last updated | Nov 5th, 2023 - about 3 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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