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Individual

THAYER MOOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1 W LAKESHORE DR, HOMEWOOD, AL 35209-0500
(205) 930-2950
(205) 408-1229
Mailing address
PO BOX 530407, BIRMINGHAM, AL 35253-0407
(205) 616-5421

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34525
AL

Other

Enumeration date
05/04/2012
Last updated
03/17/2020
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