Organization
MOORE ANESTHESIA SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD L MOORE JR. CRNA (PRESIDENT/CEO)
(478) 290-3700
Entity
Organization
Contact information
Practice address
105 FAIRVIEW PARK DR, DUBLIN, GA 31021-2501
(478) 272-3022
Mailing address
PO BOX 1031, DUBLIN, GA 31040-1031
(478) 290-3700
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
10/10/2011
Last updated
10/10/2011
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