Individual
GEORGE B MOOMAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
607 E JUBAL EARLY DR, WINCHESTER, VA 22601-5178
(540) 536-2232
(540) 536-7681
Mailing address
607 E JUBAL EARLY DR, WINCHESTER, VA 22601-5178
(540) 536-2232
(540) 536-7681
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101039577
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085749
ANTHEM
VA
Enumeration date
03/17/2006
Last updated
07/08/2007
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