Individual
DR. WILLIAM F B MOORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
950 PRINCE AVE, ATHENS AREA DERMATOLOGY, ATHENS, GA 30606
(706) 369-7546
(706) 369-6788
Mailing address
PO BOX 168, ATHENS, GA 30603
(706) 369-7546
(706) 369-6788
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
030351
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00369872G
—
GA
Enumeration date
12/01/2006
Last updated
10/08/2008
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