Individual provider · Type 1 NPI
Elijah Cale Moody
Student in an Organized Health Care Education/Training Program · College Dale, TN
NPI number
1992641146
Active
Practice location
5119 City Station Dr
College Dale, TN 37363-7153
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Other student in an organized health care education/training program providers in College Dale
About NPI 1992641146
Elijah Cale Moody's National Provider Identifier is 1992641146, issued on Apr 28, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in College Dale, TN. The record was last updated on Apr 28, 2026.