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Contact Information

MARK C MOODY, MD
1011 FRONTAGE RD
GREENVILLE, SC29615-4240
 Phone: 864-242-4263
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hand Surgery

207XS0106X 02 Physician/General Surgery
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Surgery of the Hand

2086S0105X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MARK C MOODY · (Male)

NPI # 1427496736
Status Active
Credentials MD
Entity Individual
Enumeration date 06/08/2013
Last updated 08/24/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • SC License # 35822
  • SC Medicaid 358222
Hospital affiliation(s)
  • GREENVILLE MEMORIAL HOSPITAL - (Acute Care)
    701 GROVE RD
    GREENVILLE, SC 29605
  • OCONEE MEDICAL CENTER - (Acute Care)
    298 MEMORIAL DRIVE
    SENECA, SC 29672
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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