NPI | 1942051073 |
---|---|
Former Legal Business Name | ONLINE HEALTH & MOORE LLC |
Entity Type | Organization |
Authorized Contact | JOSHUA WAYNE MOORE Owner / Provider 501-288-0136 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2024-03-27 |
Last Update Date | 2024-06-14 |