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Individual

DR. BRYCE ALAIN MOODY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
620 SKYLINE DR, JACKSON, TN 38301-3923
(731) 541-5000
Mailing address
6913 BUCKSLAND DR, OOLTEWAH, TN 37363-6485
(423) 771-9629

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101275969
VA
207Q00000X
Family Medicine Physician
Primary
54696
TN

Other

Enumeration date
04/18/2013
Last updated
11/01/2022
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