Individual
DR. THOMAS E MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3485 INDEPENDENCE DR, HOMEWOOD, AL 35209-5603
(205) 930-0920
(205) 445-0115
Mailing address
3485 INDEPENDENCE DR, HOMEWOOD, AL 35209-5603
(205) 930-0920
(205) 445-0115
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
7582
AL
208800000X
Urology Physician
00007582
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000025362
MEDICARE PTAN
AL
01
—
000037357
MEDICARE PTAN
AL
05
—
009940577
—
AL
01
—
0366100001
MC NSC
AL
01
—
1910032
UNITED HEALTHCARE
AL
01
—
1910076
UNITED HEALTHCARE
AL
01
—
2652937001
CIGNA
AL
01
—
4288415
AETNA
AL
01
—
C76475
VIVA
AL
Enumeration date
02/10/2006
Last updated
02/03/2020
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