Individual
MR. WILLIAM M MOORE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12370 HIGHWAY 114, LYERLY, GA 30730-5010
(706) 895-4827
Mailing address
12370 HIGHWAY 114, LYERLY, GA 30730-5010
(706) 895-4827
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
014534
GA
Other
Enumeration date
09/15/2006
Last updated
07/30/2008
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