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Contact Information

LISA C MOODY, MD
3540 DULUTH PARK LN STE 290
DULUTH, GA30096-8511
 Phone: 706-489-9623
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
 

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Surgery of the Hand

2082S0105X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for LISA C MOODY · (Female)

NPI # 1598923021
Status Active
Credentials MD
Entity Individual
Enumeration date 05/31/2008
Last updated 11/05/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A129944
  • GA License # 79247
  • TX License # P6470
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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