Individual
DR. SCOTT GARNER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
174 HIGHWAY 113, FLOMATON, AL 36441-4556
(251) 296-2456
(251) 296-2400
Mailing address
174 HIGHWAY 113, FLOMATON, AL 36441-4556
(251) 296-2456
(251) 296-2400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
115576
FL
207Q00000X
Family Medicine Physician
Primary
34200
AL
207Q00000X
Family Medicine Physician
38679
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000326872
BCBS PROVIDER ID
KY
05
—
008455000
—
FL
01
—
1213053
CHA PROVIDER ID
KY
05
—
148029
—
AL
05
—
35001700
—
KY
05
—
64075468
—
KY
Enumeration date
07/08/2005
Last updated
04/15/2020
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