Deborah Moody, LICENSED DISPENSING
NPI 1053832402 · on the registry since 2017
Practice
- Address
- 6803 Edmonton Ct.
Lithonia, GA 30058 - Phone
- (404) 618-0212
- Organisation at this address
- Bella Intellectum, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Optician
156FX1800X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia