person
Jonathan Ross Moore SR., MD
General Practice Physician in Mobile, Alabama
NPI 1598841322

Jonathan Ross Moore SR. is a General Practice Physician based in Mobile, AL. Jonathan Ross Moore SR. practices in Mobile, AL and has the professional credentials of MD. The NPI Number for Jonathan Ross Moore SR. is 1598841322 and holds a License No. (Alabama).

The current practice location address for Jonathan Ross Moore SR. is 75 S Lafayette St, Mobile, AL and can be reached out via phone at 251-479-3309.

Location: 75 S Lafayette St, Mobile, AL, 36604-1730
person
Provider Profile Details
NPI Number
1598841322
Provider Name
Jonathan Ross Moore SR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
75 S Lafayette St, Mobile, AL, 36604-1730
Phone Number
251-479-3309
Fax Number
Provider Enumeration Date
10/27/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
75 S Lafayette St
City
State
Zip
36604-1730
Phone Number
251-479-3309
Fax Number
person
Provider Business Mailing Address Details
Address
75 S Lafayette St
City
State
Zip
36604-1730
Phone Number
251-479-3309
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
30077 (Alabama)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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