Individual
SHAWN MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPSS
Contact information
Practice address
179 FULDER RD., BARNWELL, SC 29812
(803) 541-1245
Mailing address
179 FULDER RD., BARNWELL, SC 29812
(803) 541-1245
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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