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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY MOODY

Active Sole Proprietor

MARY MOODY is a Foot & Ankle Surgery healthcare provider located in COLUMBUS, Indiana. NPI 1053190983 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery · COLUMBUS, IN

Registration Details

NPI Number
1053190983
Provider Type
Individual
Gender
Female
NPI Issued
Sep 28, 2023 (2.9095203331066 yrs)
Last Updated
Sep 28, 2023
License
CNA0903587 (IN)
Sole Proprietor
Yes

Practice Information

Address
3840 COLONIAL DR
COLUMBUS, IN, 472032645
Browse IN providers · Browse ZIP 47203
Phone
7274853219
Primary Specialty
Foot & Ankle Surgery
3747P1801X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.