Organization
NORTH DEKALB PRIMARY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MOORE CRNP (OWNER)
(256) 996-0540
Entity
Organization
Contact information
Practice address
136 COMMERCE AVE, VALLEY HEAD, AL 35989
(256) 674-1052
(256) 674-1054
Mailing address
38109 US HIGHWAY 11, VALLEY HEAD, AL 35989-4432
(256) 996-0540
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/10/2018
Last updated
04/17/2023
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