Individual
DREW MOORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
104 FAIRVIEW PARK DR STE 200, DUBLIN, GA 31021
(478) 304-1414
(478) 353-1353
Mailing address
104 FAIRVIEW PARK DR STE 200, DUBLIN, GA 31021-2565
(478) 304-1414
(478) 353-1353
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
200800294
NC
208000000X
Pediatrics Physician
Primary
80961
GA
Other
Enumeration date
11/10/2007
Last updated
07/23/2019
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