| Jon R Moody Internal Medicine Llc | |
|
420 Lowell Dr Se Ste 106 Huntsville AL 35801-3755 | |
| (256) 535-5964 | |
| (256) 535-5963 |
| Full Name | Jon R Moody Internal Medicine Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 420 Lowell Dr Se Ste 106, Huntsville, Alabama |
| Authorized Official Name and Position | Jon R Moody (PHYSICIAN/OWNER) |
| Authorized Official Contact | 2565355964 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jon R Moody Internal Medicine Llc 420 Lowell Dr Se Ste 106 Huntsville AL 35801-3755 Ph: (256) 535-5964 | Jon R Moody Internal Medicine Llc 420 Lowell Dr Se Ste 106 Huntsville AL 35801-3755 Ph: (256) 535-5964 |
| NPI Number | 1528768439 |
|---|---|
| Provider Enumeration Date | 03/08/2023 |
| Last Update Date | 03/08/2023 |
| Medicare PECOS PAC ID | 9830558113 |
|---|---|
| Medicare Enrollment ID | O20230705001044 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528768439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jon Rice Moody |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164404513 PECOS PAC ID: 8729118922 Enrollment ID: I20100615000489 |
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