Winfred Derrick Moody in Lawrenceville - Legal Medicine
Winfred Derrick Moody - NPI 1124000187
Winfred Derrick Moody is a Legal Medicine in Lawrenceville, Georgia. Winfred Derrick Moody practices all healthcare services and medical treatments related to Legal Medicine. The NPI Number for Winfred Derrick Moody is 1124000187. The last update date is 2012-02-16.
Winfred Derrick Moody's current location address is 565 Old Norcross Rd, Lawrenceville, Georgia. You can contact this provider via phone number 7709625040 and fax number 7709625056. The mailing address for Winfred Derrick Moody is 565 Old Norcross Rd, Lawrenceville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Winfred Derrick Moody |
|---|---|
| Address | 565 Old Norcross Rd, Lawrenceville, Georgia |
| Phone Number | 7709625040 |
| Fax Number | 7709625056 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1124000187 |
|---|---|
| Provider Enumeration Date | 2005-11-16 |
| Last Updated Date | 2012-02-16 |
Provider Mailing Address Detail
| Address | 565 Old Norcross Rd |
|---|---|
| City | Lawrenceville |
| State | Georgia (GA) |
| Post Code | 300464308 |
| Phone Number | 7709625040 |
| Fax Number | 7709625056 |
Provider's Primary Taxonomy Detail
| Speciality | Legal Medicine |
|---|---|
| Taxonomy | 173000000X |
| Licence No | 45299 |
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Definition: The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judici |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000821158A | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Winfred Derrick Moody by the Centers for Medicare & Medicaid Services (CMS)?
The Winfred Derrick Moody has been assigned the NPI (National Provider Identifier) 1124000187. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Winfred Derrick Moody?
The Winfred Derrick Moody is physically situated at 565 Old Norcross Rd, in the city of Lawrenceville, state of GA, with the postal code 300464308.
What is Winfred Derrick Moody's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Winfred Derrick Moody is Legal Medicine, and the taxonomy code that categorizes this field of expertise is 173000000X.
When did the Winfred Derrick Moody receive its 1124000187?
The Winfred Derrick Moody was issued its 1124000187 on 2005-11-16, which is the date when the organization was assigned this unique identifier.
When was the Winfred Derrick Moody's information last updated?
The Winfred Derrick Moody's information was last updated on 2012-02-16.
NPI Number: 1336142389
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