Mark Moody, AA

Anesthesiologist Assistant · Thomasville, GA

Individual Active NPI

NPI number 1700280351

Practice location

915 Gordon Ave
Thomasville, GA 31792-6614
Phone
(334) 279-1450
Fax
(334) 395-4110

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NPI record

NPI
1700280351
Entity type
Individual (Type 1)
Enumeration date
October 10, 2014
Last updated
October 10, 2014
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Anesthesiologist Assistant Primary 367H00000X 7370 GA

Mailing address

PO Box 2125
Columbus, GA 31902-2125
Phone
(334) 279-1450
Fax
(334) 395-4110

About Mark Moody

Mark Moody, AA is a healthcare provider registered in the NPI registry with the primary taxonomy Anesthesiologist Assistant (code 367H00000X). The practice location is 915 Gordon Ave, Thomasville, GA 31792-6614. The NPI number 1700280351 was assigned on October 10, 2014 and the record was last updated on October 10, 2014.

Mark Moody lists a license in the registry: #7370 (GA) for Anesthesiologist Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark Moody, AA?

The NPI number is 1700280351.

What is the phone number of Mark Moody?

The phone number listed for the practice location is (334) 279-1450.

Where is Mark Moody located?

915 Gordon Ave, Thomasville, GA 31792-6614.

What is the taxonomy code for Mark Moody?

The primary taxonomy code is 367H00000X – Anesthesiologist Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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