Individual
SEAN INDIANO MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
655 7TH ST BLDG 700-A78, ROBINS AFB, GA 31098-2227
(478) 327-7605
Mailing address
655 SOUTH 7TH STREET, BLDG 700/700-A, 78 MDG/SGPO, ROBINS AFB, GA 31098
(478) 327-7605
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
MD-9798
HI
2083X0100X
Occupational Medicine Physician
Primary
MD-9798
HI
Other
Enumeration date
02/18/2009
Last updated
07/21/2022
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