Individual
MS. TAMARA MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
969 GARDNER RD, ARDMORE, TN 38449-3374
(256) 321-1787
Mailing address
969 GARDNER RD, ARDMORE, TN 38449-3374
(256) 321-1787
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
5876
AL
Other
Enumeration date
06/19/2007
Last updated
08/27/2025
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