Individual
DR. JORDAN WILLIAM MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
7921 TANNER WILLIAMS RD STE B, MOBILE, AL 36608-8303
(251) 607-0040
Mailing address
7921 TANNER WILLIAMS RD STE B, MOBILE, AL 36608-8303
(251) 607-0040
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2611
AL
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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