Moody, Mark
Moody, Mark is an individual health care provider with primary practice located at 915 Gordon Ave , Thomasville GA 31792-6614. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Moody, Mark can be contacted via phone (334) 279-1450.Contact Information
Primary practice address
915 Gordon Ave
Thomasville GA 31792-6614
Phone: (334) 279-1450
Fax: (334) 395-4110
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant | 367H00000X | 7370 | Georgia |
Profile Details
| NPI number | 1700280351 |
|---|---|
| LBN Legal business name | Moody, Mark |
| Credentials | Associate of Arts (AA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2014 |
| Last updated | Oct 10th, 2014 - about 11 years ago |
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.
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