OrganizationActive
Gwendolyn Moddrell MD PC
NPI 1992911234 · Prescribing (Medical) Psychologist · Swainsboro, GA
Provider details
- NPI number
- 1992911234
- Entity type
- Organization
- Primary specialty
- Prescribing (Medical) PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Gwendolyn Moddrell, Owner(478) 237-8101
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
247 W Main St # B
Swainsboro, GA 30401-3163
Phone: (478) 237-8101
Fax: (478) 237-8118
Approximate (ZIP-level) locationGet directions
Mailing address
247 W Main St # B
Swainsboro, GA 30401-3163
Registry dates
- Enumerated
- 2007-05-15
- Last updated
- 2008-08-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.