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Individual
RAY JEMISON MOORE III
Active
Individual
RAY JEMISON MOORE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
20131
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009927350
—
AL
01
—
051094264
BCBS
AL
Enumeration date
06/10/2005
Last updated
07/18/2008
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