Individual
STACY TOWLES-MOORE
Active
Individual
STACY TOWLES-MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14423
AL
207R00000X
Internal Medicine Physician
18858
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125268
—
AL
01
—
511-14627(ANNISTON)
BLUE CROSS
AL
05
—
8589530
—
MS
Enumeration date
07/30/2006
Last updated
03/29/2013
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