Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GWENDOLYN MODDRELL MD PC
Active OrganizationGWENDOLYN MODDRELL MD PC is a Prescribing Psychologist organization located in SWAINSBORO, Georgia. NPI 1992911234 is currently active in the NPPES registry. Verify at CMS.
Prescribing Psychologist · SWAINSBORO, GA
Registration Details
- NPI Number
- 1992911234
- Provider Type
- Organization
- NPI Issued
- May 15, 2007 (19.267571973706 yrs)
- Last Updated
- Aug 12, 2008
Practice Information
- Address
-
247 W MAIN ST # BSWAINSBORO, GA, 304013163Browse GA providers · Browse ZIP 30401
- Phone
- 4782378101
- Fax
- 4782378118
- Primary Specialty
-
Prescribing Psychologist
103TP0016X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.