LACKEY GENE MOODY

BATESVILLE, AR
NPI1730149741
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: AR  C-4126)
Enumeration Date2006-03-24
Last Update Date2007-07-08
Business Address
Dr. LACKEY GENE MOODY M.D.
1301 WHITE DR
BATESVILLE, AR 72501-9467
Phone number: 870-793-6887
Mailing Address
Dr. LACKEY GENE MOODY M.D.
PO BOX 2335
BATESVILLE, AR 72503-2335
Phone number: 870-793-6887
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