Moody, Mark Christian

Moody, Mark Christian is an sole proprietor health care provider with primary practice located at 1011 Frontage Rd , Greenville SC 29615-4240. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Moody, Mark Christian can be contacted via phone (864) 242-4263.

Contact Information

Primary practice address
1011 Frontage Rd Greenville SC 29615-4240
Phone: (864) 242-4263
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 35822 South Carolina
Allopathic & Osteopathic Physicians / Surgery of the Hand 2086S0105X 35822 South Carolina
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 35822 South Carolina

Profile Details

NPI number 1427496736
LBN Legal business name Moody, Mark Christian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2013
Last updated Aug 24th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427496736 NPPES
South Carolina MEDICAID 358222

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