Moody, Ryan Brett
Moody, Ryan Brett is an individual health care provider with primary practice located at 11700 Mercy Blvd Bldg. #5, Savannah GA 31419-1753. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Moody, Ryan Brett can be contacted via phone (912) 927-6270.Contact Information
Primary practice address
11700 Mercy Blvd Bldg. #5
Savannah GA 31419-1753
Phone: (912) 927-6270
Fax: (912) 927-6254
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 59284 | Georgia |
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 59284 | Georgia |
Profile Details
NPI number | 1629191853 |
---|---|
LBN Legal business name | Moody, Ryan Brett |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 10th, 2007 |
Last updated | May 10th, 2016 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1629191853 | NPPES |
Georgia | Other | P00619290 | RAILROAD MEDICARE |
Georgia | MEDICAID | 696088793A | RAILROAD MEDICARE |
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