Individual
RICHARD D.L. MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
961 SPRING CREEK RD, CHATTANOOGA, TN 37412-3959
(423) 892-2221
(423) 490-3407
Mailing address
1275 DICK LONAS RD UNIT 101, KNOXVILLE, TN 37909-1383
(865) 584-4747
(865) 381-1509
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36195
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3871964
—
TN
Enumeration date
02/14/2006
Last updated
05/16/2024
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