Individual
ROBERT MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
99 DOCTORS DR, SUITE 700, MUNFORD, TN 38058
(901) 837-7200
(901) 837-4769
Mailing address
99 DOCTORS DR, SUITE 700, MUNFORD, TN 38058
(901) 837-7200
(901) 837-4769
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00080
TN
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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