Individual
DEAUNWAY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13314 DICKENS LN, MADISON, AL 35756-3529
(256) 655-5829
Mailing address
13314 DICKENS LN, MADISON, AL 35756-3529
(256) 655-5829
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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