Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. WILLIS E MOODY III, M.D.
Active Sole ProprietorDR. WILLIS E MOODY III, M.D. is a General Surgery healthcare provider located in BLAIRSVILLE, Georgia. NPI 1497736664 is currently active in the NPPES registry. Verify at CMS.
General Surgery · BLAIRSVILLE, GA
Registration Details
- NPI Number
- 1497736664
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 7, 2005 (20.802993269396 yrs)
- Last Updated
- May 19, 2023
- License
-
058708 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
191 DEEP SOUTH FARM RDBLAIRSVILLE, GA, 305122220Browse GA providers · Browse ZIP 30512
- Phone
- 7067816950
- Primary Specialty
-
General Surgery
208600000X
Other General Surgery Providers in BLAIRSVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| JONATHAN A BLOCH | MD | 1982698908 |
| CLIFFORD T THOMPSON | MD | 1841276953 |
| DR. WILLIAM RICHARD WRIGHTSON | MD | 1558471680 |
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.