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Connie Moody, FNP-C

Nurse Practitioner, Family in Summerville, SC. Individual provider (NPI-1).

NPI number1356985196
StatusActive
Last updated in NPPESNov 5, 2019

Details

NPI
1356985196
Entity type
Individual (NPI-1)
Name
Connie Moody
Credential
FNP-C
Sex
Female
Sole proprietor
No
Enumeration date
Nov 5, 2019
Last updated
Nov 5, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family23397SCYes

Practice location

502 W 5th North St
Summerville, SC 29483-6105

Phone 843-371-5433

Mailing address

502 W 5th North St
Summerville, SC 29483-6105

Phone 843-371-5433

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