Individual
MS. KAREN ADAMS MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1330 TAYLOR STREET, COLUMBIA, SC 29220-0001
(803) 296-5010
(803) 268-9680
Mailing address
411 CLUB ACRES BLVD, ORANGEBURG, SC 29118-4117
(803) 268-9680
(803) 268-9680
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1999
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN1255
—
SC
Enumeration date
06/10/2007
Last updated
04/08/2008
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