Individual
JUSTIN MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
560 DEVALL DR, AUBURN, AL 36832-5813
(205) 272-0841
Mailing address
270 COUNTY ROAD 428, DOUBLE SPRINGS, AL 35553-4943
(205) 272-0841
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1625
AL
Other
Enumeration date
02/02/2015
Last updated
02/02/2015
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