Miss Kelley Marie Moody
Family Doctor - Adult Medicine
750 W Carolina Ave
Hartsville
, South Carolina 29550-4412
Miss Kelley Marie Moody
Family Doctor - Adult Medicine
750 W Carolina Ave
Hartsville
, South Carolina 29550-4412
(843) 951-9989
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Miss Kelley Marie Moody
- 750 W Carolina Ave
- Hartsville, SC
- Zip : 29550-4412
- Fax : (843) 951-9989
- Phone : (843) 995-9990
Second Address
- Miss Kelley Marie Moody
- 750 W Carolina Ave
- Hartsville, SC
- Zip : 29550-4412
- Fax : (843) 951-9989
- Phone : (843) 951-9990
Reviews
FAQs
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What type of doctor is Miss Kelley Marie Moody
In what state does Miss Kelley Marie Moody practice in?
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Is Miss Kelley Marie Moody a sole practitioner?
Is Miss Kelley Marie Moody accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | 23682 | SC |
National Provider Identifier
| NPI | 1194358317 |
|---|---|
| Provider Name | Miss Kelley Marie Moody |
| First Address | Hartsville, SC 29550-4412 |
| Second Address | Hartsville, SC 29550-4412 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/02/2020 |
| Last Update Date | 08/02/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.