Individual
DR. GEORGE TERRANCE MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1450 OAK ST, GRENADA, MS 38901-4600
(662) 226-0554
(662) 226-0556
Mailing address
PO BOX 1004, GRENADA, MS 38902-1004
(662) 226-0554
(662) 226-0556
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2090-84
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00060069
—
MS
Enumeration date
03/06/2007
Last updated
07/09/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us