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Organization

MD MOORE LLC

Active
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Organization

MD MOORE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TANYA B MOORE (OWNER/CEO)
(606) 595-8454
Entity
Organization

Contact information

Practice address
1031 HWY 11N, BEATTYVILLE, KY 41311
(606) 595-8454
Mailing address
1031 HWY 11N, BEATTYVILLE, KY 41311
(606) 595-8454

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Enumeration date
10/21/2022
Last updated
11/29/2022
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