| Organization Name: | SALEM FAMILY CLINIC |
| NPI Number: | 1376519454 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL N MOODY (MEDICAL DOCTOR) |
| Mailing Address: | 507 N Main St Salem |
| State: | AR US |
| Postal Code: | 725769449 |
| Phone Number: | 8708952541 |
| Fax Number: | 8708952957 |
| NPI Enumeration Date: | 02/27/2006 |
| NPI Last Update Date: | 12/22/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MC0433 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |