Individual
CAITLIN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35249
(205) 934-4011
(205) 297-9411
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
(205) 297-9411
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1321
AL
Other
Enumeration date
07/08/2016
Last updated
06/04/2018
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