Diahann Meekins Moore MD

NPI 1669707956 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1669707956
Gender Female
Enumeration Date 10/05/2009
Last Updated 04/12/2013
Entity Type Individual
Active Over 7 years ago
Practice Location
24 JOLIET ST
DYER IN, 46311-1705, US
Phone (219) 322-5747
Fax (219) 864-2282
Business Location
1040 SIERRA DRIVE
SUITE 400
GREENWOOD IN, 46143-7241, US
Phone (317) 528-4886
Fax (317) 859-8239
Toxanomy
Taxonomy Code 2084P0800X
License State Georgia
License Number 63458
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According to our database, Dr. Diahann Meekins Moore MD NPI is 1669707956, taxonomy code is 2084P0800X and license number is 63458, license state is located at Georgia. Diahann Meekins Moore MD physically located at 24 Joliet St, Dyer IN, 46311-1705. NPI Number Diahann Meekins Moore MD has the Individual type.

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1669707956 NPI number is provided on an as is basis without warranty of any kind. 1669707956 is maintained by the National Plan & Provider Enumeration System. The contents of Diahann Meekins Moore MD are for informational purposes only.