Individual
KAREN MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
203 N PAGE ST, CHESTERFIELD, SC 29709-1201
(843) 623-2117
(843) 623-3066
Mailing address
203 N PAGE ST, CHESTERFIELD, SC 29709-1201
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
54273
SC
Other
Enumeration date
03/19/2014
Last updated
03/19/2014
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