Individual
DR. EMILY NICHOLE MOODY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
346 W CENTRAL AVE, JAMESTOWN, TN 38556-3407
(931) 879-8133
(931) 879-9365
Mailing address
1647 MOODYVILLE RD, BYRDSTOWN, TN 38549-4339
(931) 864-3043
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11629
TN
Other
Enumeration date
12/14/2005
Last updated
07/08/2007
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