NPI 1851877013 · live from the CMS NPI Registry
Aurelia Linda Bryant-Moody
Registered Nurse, Psych/Mental Health in Conyers, GA. National Provider Identifier 1851877013, active.
NPI record
| NPI | 1851877013 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Psych/Mental Health 163WP0808X |
| Practice location | 2012 Eastview Pkwy Ste 400, Conyers, GA 30013 |
| Practice phone | 770-679-0586 |
| Mailing address | 10720 Wellington Dr, Covington, GA 30014 |
| Enumerated | July 11, 2018 |
| Last updated | July 11, 2018 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Psych/Mental Health, Child & Adolescent | 163WP0807X | RN222976 (GA) |
| Registered Nurse, Psych/Mental Health, Adult | 163WP0809X | RN222976 (GA) |
| Registered Nurse, Psych/Mental Health primary | 163WP0808X | RN222976 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.