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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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