Individual
DR. JEREMY CLINT MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5800 SOUTHLAND DR, MOBILE, AL 36693-3313
(251) 450-2211
(251) 662-7297
Mailing address
5750A SOUTHLAND DR, MOBILE, AL 36693-3316
(251) 450-5916
(251) 662-7297
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
DO.1306
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2011
Last updated
09/12/2022
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