NPI 1023566163
Devera Moeller, PHARMD
Practice location
- Address
- 201 Hospital Rd, Canton, GA 30114-2408
- Phone
- (770) 721-4190
- Fax
- (770) 720-5455
- Mailing address
- 900 Beaumont CT, Canton, GA 30114-8186
Registered specialties
General Acute Care Hospital
Primary
Registry record
- NPI
- 1023566163
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 19 Sep 2016
- Record last updated
- 19 Sep 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.