Individual
WILLIAM DYWAYNE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EMT
Contact information
Practice address
205 KENTUCKY AVE SUITE 1, STEVENSON, AL 35772, STEVENSON, AL 35772
(566) 957-3482
(256) 437-6509
Mailing address
955 COUNTY ROAD 255, BRIDGEPORT, AL 35740-7425
(256) 695-7348
(256) 437-6509
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
AL
Other
Enumeration date
07/19/2023
Last updated
07/27/2023
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