# CAITLYN C MOONEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1215223144
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 67781 | TN | — |
| 208000000X | Pediatrics Physician | MMD.33843 LL | SC | — |
| 208000000X | Pediatrics Physician | Q9868 | TX | — |
| 2080S0010X | Pediatric Sports Medicine Physician | 67781 | TN | Yes |

## Other

- **Enumeration date:** 06/20/2011
- **Last updated:** 04/11/2024