Individual
GINA MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1210 MINERAL WELLS AVE, PARIS, TN 38242-4914
(731) 644-0220
Mailing address
1210 MINERAL WELLS AVE, PARIS, TN 38242-4914
(731) 644-0220
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10607
TN
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
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