Organization
SALLY W. MOORE, O.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALLY WONG MOORE O.D. (PRESIDENT)
(251) 753-2978
Entity
Organization
Contact information
Practice address
27520 US HIGHWAY 98, DAPHNE, AL 36526-4812
(251) 626-8950
(251) 626-5896
Mailing address
8223 PINE LOG CT, DAPHNE, AL 36526-6152
(251) 753-2978
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
SA38TA597
AL
Other
Enumeration date
09/29/2006
Last updated
08/22/2020
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