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Individual

DR. CLINT J MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
6600 VAN AALST BLVD, MARTIN ARMY COMMUNITY HOSPITAL, FORT MOORE, GA 31905
(850) 885-9977
Mailing address
MARTIN ARMY COMMUNIITY HOSPITAL, 6600 VAN AALST BLVD BLDG 9250, FORT MOORE, GA 31905
(850) 885-9977

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1251
NE
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
1251
NE

Other

Enumeration date
06/27/2013
Last updated
01/31/2025
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