Individual
STEPHEN MICHAEL MOORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP
Contact information
Practice address
465 MILLSTONE CIR, ATHENS, GA 30605-4939
(706) 354-0266
Mailing address
465 MILLSTONE CIR, ATHENS, GA 30605-4939
(706) 354-0266
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN093713 NP
GA
Other
Enumeration date
01/30/2009
Last updated
01/30/2009
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