Individual
EMILY ROSE MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
386 W MAIN ST STE 104, HENDERSONVILLE, TN 37075-3350
(615) 338-3602
Mailing address
2407 8TH AVE S APT 305, NASHVILLE, TN 37204-2454
(870) 530-2784
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3689
TN
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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