Individual
DR. MARCUS MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2116 DATA PARK, HOOVER, AL 35244-1203
(205) 733-9595
(205) 733-9599
Mailing address
2116 DATA PARK, HOOVER, AL 35244-1203
(205) 733-9595
(205) 733-9599
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
27114
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150987
—
AL
Enumeration date
06/06/2006
Last updated
03/22/2016
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