person
William Dywayne Moore, EMT
Customized Equipment (DME) in Stevenson, Alabama
NPI 1083394647

William Dywayne Moore is a Customized Equipment (DME) based in Bridgeport, AL and is specialized in Customized Equipment. William Dywayne Moore practices in Stevenson, AL and has the professional credentials of EMT. The NPI Number for William Dywayne Moore is 1083394647 and holds a License No. (Alabama).

The current practice location address for William Dywayne Moore is 205 Kentucky Ave Suite 1, Stevenson, AL and can be reached out via phone at 566-957-3482 and via fax at 256-437-6509.

Location: 205 Kentucky Ave Suite 1, Stevenson, AL, 35740-7425
person
Provider Profile Details
NPI Number
1083394647
Provider Name
William Dywayne Moore
Credential
EMT
Provider Entity Type
Individual
Gender
Male
Address
205 Kentucky Ave Suite 1, Stevenson, AL, 35740-7425
Phone Number
566-957-3482
Fax Number
256-437-6509
Provider Enumeration Date
07/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
205 Kentucky Ave Suite 1
City
State
Zip
35772
Phone Number
566-957-3482
Fax Number
256-437-6509
person
Provider Business Mailing Address Details
Address
205 Kentucky Ave Suite 1
City
State
Zip
35772
Phone Number
566-957-3482
Fax Number
256-437-6509
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
(Alabama)
Definition
Definition to come...
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