Individual
MORGAN ARIEL DOTY MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
102 LEXINGTON DR STE 100, MADISON, MS 39110-6952
(601) 973-1688
(601) 973-1690
Mailing address
501 BAY POINTE CV, BRANDON, MS 39047-8631
(601) 405-4334
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903443
MS
Other
Enumeration date
07/25/2019
Last updated
09/14/2022
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