Individual
FREDERICK HAYGOOD MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 18TH ST E, TIFTON, GA 31794-3648
(229) 353-6292
Mailing address
901 18TH ST E, TIFTON, GA 31794-3648
Taxonomy
Speciality
Code
Description
License number
State
1835C0205X
Critical Care Pharmacist
Primary
013855
GA
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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