Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Christopher Gunnar Moody, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700580487

Christopher Gunnar Moody, DO is a Student in an Organized Health Care Education/Training Program in Jackson, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2023
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

764 Lakeland Dr
Jackson, MS 39216-4651
Phone: (601) 984-6800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence T-5034 (MS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (MS)

Record details

NPI number1700580487
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMarch 28, 2023
Last updated in NPPESJuly 20, 2023
Certification dateJuly 20, 2023
Mailing address1012 Cobblestone Pl, Brandon, MS 39042-2050

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