Moody, Brent R
Moody, Brent R is an individual health care provider with primary practice located at 4230 Harding Pike Ste 230 , Nashville TN 37205-2013. He recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as his primary health care specialty. Moody, Brent R can be contacted via phone (629) 255-2066.Contact Information
Primary practice address
4230 Harding Pike Ste 230
Nashville TN 37205-2013
Phone: (629) 255-2066
Fax: (629) 255-4136
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 37502 | Tennessee |
Profile Details
| NPI number | 1457448599 |
|---|---|
| LBN Legal business name | Moody, Brent R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 9th, 2006 |
| Last updated | Feb 27th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457448599 | NPPES |
| Tennessee | MEDICAID | 3884146 |
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