Individual
ALISHA MARIE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 RICE MINE RD N STE B, TUSCALOOSA, AL 35406-2375
(205) 349-4200
Mailing address
1957 VIC GREEN RD, NORTHPORT, AL 35475-4964
(205) 792-3433
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
630900428
AL
363LF0000X
Family Nurse Practitioner
Primary
1-116590
AL
Other
Enumeration date
06/27/2017
Last updated
12/08/2022
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