Individual
KRISTEN MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8600 HIXSON PIKE, HIXSON, TN 37343-1515
(423) 842-2197
Mailing address
5312 ANDERSON AVE, CHATTANOOGA, TN 37412-3216
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
37411
TN
Other
Enumeration date
05/27/2015
Last updated
05/29/2015
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