Individual
MS. MARGARET L. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2621 19TH ST S, HOMEWOOD, AL 35209
(205) 271-8200
(205) 271-8217
Mailing address
2151 OLD ROCKY RIDGE RD, SUITE 106, BIRMINGHAM, AL 35216-6101
(205) 989-1080
(205) 989-1087
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-052404
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051557298
—
AL
01
—
515-32935
BLUECROSS BLUESHIELD AL
AL
01
—
P00297305
MED-RAILROAD
AL
Enumeration date
06/07/2006
Last updated
08/01/2018
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