Moody, Raymond Avery
Moody, Raymond Avery is an individual health care provider with primary practice located at 3567 Val-Tech Rd. Valdosta State Prison, Valdosta GA 31602. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Moody, Raymond Avery can be contacted via phone (229) 333-7963.Contact Information
Primary practice address
3567 Val-Tech Rd. Valdosta State Prison
Valdosta GA 31602
Phone: (229) 333-7963
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 051990 | Georgia |
Profile Details
| NPI number | 1356559801 |
|---|---|
| LBN Legal business name | Moody, Raymond Avery |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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