Moody, Michael Shannon
Moody, Michael Shannon is an sole proprietor health care provider with primary practice located at 8464 Adair Sreet , Douglasville GA 30134-1877. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Moody, Michael Shannon can be contacted via phone (770) 949-9804.Contact Information
Primary practice address
8464 Adair Sreet
Douglasville GA 30134-1877
Phone: (770) 949-9804
Fax: (770) 949-9842
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 037626 | Georgia |
Profile Details
| NPI number | 1952466583 |
|---|---|
| LBN Legal business name | Moody, Michael Shannon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 26th, 2006 |
| Last updated | Aug 31st, 2023 - about last year |
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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