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Organization
MOORE FOOT AND ANKLE SOLUTIONS, LLC
Active
Organization
MOORE FOOT AND ANKLE SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN MOORE DPM (PODIATRIST)
(478) 216-5534
Entity
Organization
Contact information
Practice address
4100 RIVERSIDE DR STE 97, MACON, GA 31210-1848
(478) 216-5534
Mailing address
4100 RIVERSIDE DR STE 97, MACON, GA 31210-1848
(478) 216-5534
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD001181
GA
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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