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Individual

DR. DEBRA TANECE MOORE-HILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-3052
Mailing address
1499 WALTON WAY, SUITE 1400, AUGUSTA, GA 30901-2602

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
66150
GA
2084N0600X
Clinical Neurophysiology Physician
66150
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002435
RESIDENCY TRAINING PERMIT
GA
Enumeration date
06/28/2007
Last updated
01/21/2014
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