Individual
FELICE PEARL MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2000 E GREENVILLE ST, STE 2300, ANDERSON, SC 29621-1580
(864) 224-1232
(864) 224-1273
Mailing address
2000 E GREENVILLE ST, STE 2300, ANDERSON, SC 29621-1580
(864) 224-1232
(864) 224-1273
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
19372
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N01676
—
SC
01
—
P01034600
RR MEDICARE
SC
Enumeration date
05/27/2006
Last updated
06/15/2012
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