Individual
TIA NOELLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40900 US HIGHWAY 280, SYLACAUGA, AL 35150-6838
(256) 369-0022
Mailing address
1500 1ST AVE N UNIT 3, BIRMINGHAM, AL 35203-1866
(205) 545-5088
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-164523
AL
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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