Individual provider · Type 1 NPI

Emily Moody, PA-C

Surgical Physician Assistant · Anderson, SC

NPI number 1750855011 Active

Practice location

2000 E Greenville St Ste 2500
Anderson, SC 29621-1728

Call (864) 512-6810 Map

Fax (864) 224-1109

Mailing address

PO Box 100174
Columbia, SC 29202-3174

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X3138 (SC)
Surgical Physician Assistant Primary 363AS0400X3138 (SC)

Surgical Physician Assistant: Definition to come...

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About NPI 1750855011

Emily Moody, PA-C's National Provider Identifier is 1750855011, issued on Jan 18, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Anderson, SC. The record was last updated on Jan 5, 2023.