Individual
ALISHIA CHRISTINE MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1108 ROSS CLARK CIR, DOTHAN, AL 36301-3022
(334) 793-8111
Mailing address
9225 INDIAN BLUFF RD, YOUNGSTOWN, FL 32466-2049
(850) 303-3458
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/11/2015
Last updated
08/27/2015
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