Individual
J. RYAN MOORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2804C N OAK ST, VALDOSTA, GA 31602-1716
(229) 241-8925
(229) 241-7672
Mailing address
2804C N OAK ST, VALDOSTA, GA 31602-1716
(229) 241-8925
(229) 241-7672
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006862
GA
Other
Enumeration date
07/31/2006
Last updated
04/08/2014
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