Individual
JOSEPH STEPHEN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 638-9566
(205) 638-6047
Mailing address
3341 CULLODEN WAY, BIRMINGHAM, AL 35242-3933
(478) 714-8911
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2780
AL
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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