NPI

John P. Moore

NPI 1720083561

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
M.D.
Type
Individual
Enumeration date
2005-06-17
Last updated
2009-12-30

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Specialties

Licenses

License AL
9967

Location

Practice location
1118 Ross Clark Cir, Ste 310
City
Dothan AL
Postal code
36301-3002
Phone
(334) 793-1534

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

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