Individual
WILLIAM HARRISON MOORE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3368 HIGHWAY 280, SUITE 111, ALEXANDER CITY, AL 35010-3393
(256) 234-3477
(256) 234-9866
Mailing address
3368 HIGHWAY 280, SUITE 111, ALEXANDER CITY, AL 35010-3393
(256) 234-3477
(256) 234-9866
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
15177
AL
207VG0400X
Gynecology Physician
Primary
15177
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00002851MOO
—
AL
01
—
51119786
BLUE CROSS/BLUE SHIEL
AL
Enumeration date
07/17/2006
Last updated
10/10/2013
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