Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WINFRED DERRICK MOODY, MD
ActiveWINFRED DERRICK MOODY, MD is a Dermatology healthcare provider located in LAWRENCEVILLE, Georgia. NPI 1124000187 is currently active in the NPPES registry. Verify at CMS.
Dermatology · LAWRENCEVILLE, GA
Registration Details
- NPI Number
- 1124000187
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 16, 2005 (20.752843384811 yrs)
- Last Updated
- Feb 16, 2012
- Licenses
-
045299 (GA)045299 (GA)
Practice Information
- Address
-
565 OLD NORCROSS RDSUITE #200LAWRENCEVILLE, GA, 300464308Browse GA providers · Browse ZIP 30046
- Phone
- 7709625040
- Fax
- 7709625056
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Dermatology
Other Dermatology Providers in LAWRENCEVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| MATTHEW J RESCHLY | M.D. | 1417949777 |
| DR. JODI D LANGER-KAUFMANN | M.D. | 1639325194 |
| CHARYA CHHAUV BY GOLDSMITH | M.D. | 1164742425 |
| KENYATTA MIREKU | MD | 1740600048 |
| KEHINDE RAJI OLUMESI | M.D. | 1780062661 |
| KENDALL ELIZABETH TOWE | PA-C | 1063190585 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.