NPI 1104623545

Shawn Moody, CPSS

Practitioner Peer Specialist Barnwell, SC

Practice location

Address: 179 Fulder Rd., Barnwell, SC 29812
Phone: (803) 541-1245

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

Other Peer Specialist providers in South Carolina →

Registry record

NPI: 1104623545
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Feb 2025
Record last updated: 25 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.