Moody, Gina Pamela

Moody, Gina Pamela is an sole proprietor health care provider with primary practice located at 4110 Elders Dr , Augusta GA 30909-9133. She recently has only one registered license in Other Service Providers / Driver, which is considered as her primary health care specialty. Moody, Gina Pamela can be contacted via phone (706) 631-3373.

Contact Information

Primary practice address
4110 Elders Dr Augusta GA 30909-9133
Phone: (706) 631-3373
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X

Profile Details

NPI number 1124494406
LBN Legal business name Moody, Gina Pamela
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2015
Last updated Aug 20th, 2015 - about 9 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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