Individual
JACOB BROOKS MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
151 DU RHU DR APT 4323, MOBILE, AL 36608-1266
(256) 914-9700
Mailing address
53 NICHOLAS CV, OXFORD, AL 36203-3530
(256) 914-9700
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
PA.2684
AL
Other
Enumeration date
08/15/2024
Last updated
11/06/2025
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