JORDAN MOODY
NPI 1629577549
Preventive Medicine - Sports Medicine in Columbia, SC
- Individual
- Male
- Preventive Medicine
- Sports Medicine
About JORDAN MOODY
This page provides the complete NPI Profile along with additional information for Jordan Moody, a provider established in Columbia, South Carolina with a medical specialization in Preventive Medicine, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1629577549 assigned on February 2018. The practitioner's primary taxonomy code is 2083S0010X with license number SC500634 (SC). The provider is registered as an individual and his NPI record was last updated 8 years ago.
- NPI
- 1629577549 Verify this NPI
- Provider Name
- JORDAN MOODY
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 811 POLO RD APT 616 COLUMBIA, SC 29223
- Location Phone
- (803) 586-2132
- Mailing Address
- 811 POLO RD APT 616 COLUMBIA, SC 29223
- Mailing Phone
- (803) 586-2132
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-06-2018
- Last Update Date
- 02-06-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Preventive Medicine Sports Medicine
- Taxonomy Code
- 2083S0010X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- SC500634
- License State
- SC
- Taxonomy Description
- A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629577549, enumerated as an "individual" on February 06, 2018.
The provider is located at 811 POLO RD APT 616 COLUMBIA, SC 29223 and the phone number is (803) 586-2132.
Preventive Medicine with taxonomy code 2083S0010X and a focus in Sports Medicine.
