Larry R Moorman M D

NPI 1225193329 - Ophthalmology - 207W00000X

NPI Details
NPI 1225193329
Enumeration Date 12/27/2006
Last Updated 10/16/2015
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DEBRA H DEBRA
Position OFFICE MANAGER
Phone (229) 386-2181
Fax (229) 386-2193
Practice Location
1803 OLD OCILLA RD
TIFTON GA, 31794-1617, US
Phone (229) 386-2181
Fax (229) 386-2193
Business Location
1803 OLD OCILLA RD
TIFTON GA, 31794-1617, US
Phone (229) 386-2181
Fax (229) 386-2193
Toxanomy
Taxonomy Code 207W00000X
License State Georgia
License Number 014938
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According to our database, Larry R Moorman M D NPI is 1225193329, taxonomy code is 207W00000X and license number is 014938, license state is located at Georgia. Larry R Moorman M D physically located at 1803 Old Ocilla Rd, Tifton GA, 31794-1617. NPI Number 1033115704 has the healthcare provider type.

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1225193329 NPI number is provided on an as is basis without warranty of any kind. 1225193329 is maintained by the National Plan & Provider Enumeration System. The contents of Larry R Moorman M D are for informational purposes only.