Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN MOODY
ActiveJORDAN MOODY is a 2083S0010X healthcare provider located in COLUMBIA, South Carolina. NPI 1629577549 is currently active in the NPPES registry. Verify at CMS.
2083S0010X · COLUMBIA, SC
Registration Details
- NPI Number
- 1629577549
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 6, 2018 (8.544490466587 yrs)
- Last Updated
- Feb 6, 2018
- License
-
SC500634 (SC)
Practice Information
- Address
-
811 POLO RD APT 616COLUMBIA, SC, 292234445Browse SC providers · Browse ZIP 29223
- Phone
- 8035862132
- Primary Specialty
-
2083S0010X
2083S0010X
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.