DR. David Lavon Moore, MD

NPI #1144431479 in Soperton, Georgia

Provider Information

NPI Number: 1144431479
Entity Type: Individual
Name: DR. David Lavon Moore, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: General Practice
Credential: MD
Enumeration Date: May 25, 2007
Last Updated: Jul 8, 2009

Practice Location

Address: 4101 CASCADE CIRCLE
City: Soperton
State: Georgia
ZIP Code: 30457
Phone: (478) 984-1420

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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