Individual
JAMES OLIVER MOORE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6300 MAIN ST, ZACHARY, LA 70791-4037
(225) 658-4000
Mailing address
1151 MEMORIAL SQ, ZACHARY, LA 70791-7851
(225) 907-8635
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
306768
LA
Other
Enumeration date
04/23/2014
Last updated
03/17/2018
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