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Individual

ROSS GLENN MOORMAN III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2104 REDBIRD TRAIL, DOUGLAS, GA 31533
(912) 260-2287
Mailing address
2104 REDBIRD TRAIL, DOUGLAS, GA 31533
(912) 260-2287

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
034668
GA
207R00000X
Internal Medicine Physician
034668
GA

Other

Enumeration date
09/14/2006
Last updated
04/04/2016
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