Organization
FAMILY FOOT AND ANKLE CENTER OF SOUTHERN ILLINOIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELINDA BETH MOORE DPM (PODIATRIC PHYSICIAN)
(618) 985-3338
Entity
Organization
Contact information
Practice address
807 S DIVISION ST, CARTERVILLE, IL 62918-1528
(618) 985-3338
(618) 985-3339
Mailing address
PO BOX 508, CARTERVILLE, IL 62918-0508
(618) 985-3338
(618) 985-3339
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
07/14/2009
Last updated
09/14/2020
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