Individual
DR. MEGAN MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
3901 EDMUND HWY, SUITE C, WEST COLUMBIA, SC 29170-1900
(803) 755-3953
Mailing address
751 MALLET HILL RD, APT. 11206, COLUMBIA, SC 29223-4471
(706) 832-0746
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8080
SC
Other
Enumeration date
09/20/2012
Last updated
09/20/2012
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