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Individual
DR. JUDSON B. MOORE
Active
Individual
DR. JUDSON B. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
26641
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009996985
—
AL
05
—
121888
—
AL
01
—
511-08313
BCBS OF AL - HEALTHWEST
AL
01
—
515-28492
BCBS OF AL 1500 RCC
AL
05
—
681240743A
—
GA
05
—
681240743C
—
GA
Enumeration date
08/25/2005
Last updated
11/20/2014
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