CHARLES DANIEL MOORE

TUSCALOOSA, AL
NPI1942764592
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AL  1-124776)
Enumeration Date2019-01-29
Last Update Date2022-07-20
Business Address
CHARLES DANIEL MOORE CRNP
850 PETER BRYCE BLVD
TUSCALOOSA, AL 35401-7457
Phone number: 205-348-1770
Mailing Address
CHARLES DANIEL MOORE CRNP
850 PETER BRYCE BLVD
TUSCALOOSA, AL 35401-7457
Phone number: 205-330-6400