Individual
STACY TOWLES-MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1316 NOBLE ST, ANNISTON, AL 36201-4643
(256) 492-0131
Mailing address
PO BOX 97, GADSDEN, AL 35902-0097
(256) 492-0131
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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