Individual
ADAMS W MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 N BROAD ST NE, SUITE 220, ROME, GA 30161-5201
(706) 291-2661
Mailing address
901 N BROAD ST NE, SUITE 220, ROME, GA 30161-5201
(701) 291-2661
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
75539
GA
390200000X
Student in an Organized Health Care Education/Training Program
32325
AL
Other
Enumeration date
05/04/2010
Last updated
06/22/2016
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