DR. Mark D Moore, OD

NPI #1043328800 in Douglas, Georgia

Provider Information

NPI Number: 1043328800
Entity Type: Individual
Name: DR. Mark D Moore, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Aug 29, 2006
Last Updated: Mar 20, 2015

Practice Location

Address: 504 PETERSON AVE S
City: Douglas
State: Georgia
ZIP Code: 31533-5254
Phone: (912) 389-1230

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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