Moody, John S
Moody, John S is an sole proprietor health care provider with primary practice located at 2400 W Friendly Ave , Greensboro NC 27403-1109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Moody, John S can be contacted via phone (336) 832-1100.Contact Information
Primary practice address
2400 W Friendly Ave
Greensboro NC 27403-1109
Phone: (336) 832-1100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 26535 | Alabama |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 2008-00671 | North Carolina |
Profile Details
| NPI number | 1285844183 |
|---|---|
| LBN Legal business name | Moody, John S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 22nd, 2007 |
| Last updated | Apr 18th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285844183 | NPPES |
| North Carolina | MEDICAID | 5909355 | |
| North Carolina | Other | 2069888 | |
| North Carolina | Other | P00838356 | |
| North Carolina | MEDICAID | 1285844183 |
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