Individual
MR. JOSEPH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
2109 N PATTERSON ST, SUITE A, VALDOSTA, GA 31602-2946
(229) 247-5225
(229) 241-8471
Mailing address
2109 N PATTERSON ST, SUITE A, VALDOSTA, GA 31602-2946
(229) 247-5225
(229) 241-8471
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT009031
GA
Other
Enumeration date
05/03/2007
Last updated
04/20/2008
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