Individual
DR. SALLY WONG MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
10040 COUNTY ROAD 48, FAIRHOPE, AL 36533
(251) 990-9094
Mailing address
8223 PINE LOG CT, DAPHNE, AL 36526-6152
(251) 753-2978
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
SA38TA597
AL
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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