Individual
DR. MARK LAWRENCE MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7 VANDERBILT PARK DR, ASHEVILLE, NC 28803-1700
(828) 255-7776
(828) 255-8794
Mailing address
PO BOX 602811, CHARLOTTE, NC 28260-2811
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35707
NC
207XS0117X
Orthopaedic Surgery of the Spine Physician
35707
NC
Other
Enumeration date
10/27/2006
Last updated
09/12/2016
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