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Organization
FAMILY FOOT AND ANKLE CENTER OF SOUTHERN ILLINOIS LLC
Active
Organization
FAMILY FOOT AND ANKLE CENTER OF SOUTHERN ILLINOIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELINDA BETH MOORE DPM (PODIATRIC PHYSICIAN)
(618) 985-3338
Entity
Organization
Contact information
Practice address
807 S DIVISION ST, CARTERVILLE, IL 62918-1528
(618) 985-3338
(618) 985-3339
Mailing address
PO BOX 508, CARTERVILLE, IL 62918-0508
(618) 985-3338
(618) 985-3339
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
07/14/2009
Last updated
09/14/2020
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