Individual
CANDACE JACKSON MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
932 MORREENE RD, DURHAM, NC 27705-4410
(919) 668-7600
Mailing address
932 MORREENE RD, DURHAM, NC 27705-4410
(919) 668-7600
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
12/29/2015
Last updated
11/17/2022
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