Organization
GREGG P. MOODY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGG P MOODY MD (PRESIDENT)
(256) 233-2914
Entity
Organization
Contact information
Practice address
1005 W MARKET ST, SUITE 14, ATHENS, AL 35611-2454
(256) 233-2914
(256) 230-9005
Mailing address
1005 W MARKET ST, SUITE 14, ATHENS, AL 35611-2454
(256) 233-2914
(256) 230-9005
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
00027450
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009937807
—
AL
Enumeration date
06/20/2006
Last updated
05/02/2008
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