Individual
DR. MELISSA ANN MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
511 MORRIS ST, CHARLESTON, WV 25301-1326
(304) 341-0511
(304) 525-1073
Mailing address
3375 US ROUTE 60, HUNTINGTON, WV 25705-2837
(304) 525-7851
(304) 525-1073
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
24328
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005355002
—
WV
05
—
3810022672
—
WV
Enumeration date
04/13/2007
Last updated
05/15/2012
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