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Contact Information

JOHN S MOODY, MD
2400 W FRIENDLY AVE
GREENSBORO, NC27403-1109
 Phone: 336-832-1100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for JOHN S MOODY · (Male)

NPI # 1285844183
Status Active
Credentials MD
Entity Individual
Enumeration date 05/22/2007
Last updated 04/18/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • AL License # 26535
  • NC License # 2008-00671
  • NC Medicaid 5909355
  • VA Medicaid 1285844183
  • NC Other P00838356 MEDICARE RAILROAD
  • NC Other 2069888 WELLPATH/COVENTRY
Hospital affiliation(s)
  • MOSES H CONE MEMORIAL HOSPITAL THE - (Acute Care)
    1200 N ELM ST
    GREENSBORO, NC 27401
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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