Moody, Mechelle L
Moody, Mechelle L is an individual health care provider with primary practice located at 4970 Highway 90 , Marianna FL 32446-6802. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Moody, Mechelle L can be contacted via phone (850) 718-5620.Contact Information
Primary practice address
4970 Highway 90
Marianna FL 32446-6802
Phone: (850) 718-5620
Fax: (850) 718-5670
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 046890 | Georgia |
Profile Details
| NPI number | 1477757839 |
|---|---|
| LBN Legal business name | Moody, Mechelle L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2007 |
| Last updated | Jan 11th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477757839 | NPPES |
| Georgia | Other | 046890 | GA STATE LICENSE |
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