Individual
DR. MAXWELL MOODY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMMD
Contact information
Practice address
400 E HARGROVE RD, TUSCALOOSA, AL 35401-5032
(205) 349-3150
(205) 349-3150
Mailing address
400 E HARGROVE RD, TUSCALOOSA, AL 35401-5032
(205) 349-3150
(205) 349-3150
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3113
AL
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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