Organization
MOONLIGHT DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY R LIPSCOMB MD (PRESIDENT)
(251) 554-7798
Entity
Organization
Contact information
Practice address
3188 PARLIAMENT CIR STE 802, MONTGOMERY, AL 36116-7271
(334) 416-8298
(833) 260-4473
Mailing address
3188 PARLIAMENT CIR STE 802, MONTGOMERY, AL 36116-7271
(334) 416-8298
(833) 260-4473
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
02/10/2019
Last updated
06/03/2019
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