Individual provider · Type 1 NPI

Ashley Tumlin Moody, PA-C

Medical Physician Assistant · Florence, SC

NPI number 1114083680 Active

Practice location

101 S Ravenel St, Suite 230
Florence, SC 29506-2618

Fax (843) 777-7041

Mailing address

PO Box 3239
Florence, SC 29502-3239

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X730 (SC)

Medical Physician Assistant: Definition to come...

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About NPI 1114083680

Ashley Tumlin Moody, PA-C's National Provider Identifier is 1114083680, issued on Dec 29, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Florence, SC. The record was last updated on Feb 15, 2021.