THOMAS S MOORE, MD, Diagnostic Radiology MONTGOMERY, AL

Contact Information

THOMAS S MOORE, MD

2055 NORMANDIE DR
SUITE 108
MONTGOMERY, AL 36111-2732

Phone: 334-288-4624
Fax: 334-280-3628
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Diagnostic Radiology	2085R0202X	30	Physician/Diagnostic Radiology
Vascular & Interventional Radiology	2085R0204X	94	Physician/Interventional Radiology

Indicates primary specialty

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NPI Profile & details for THOMAS S MOORE · (Male)

NPI #	`1740274158`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	08/31/2005
Last updated	11/02/2011 - About 15 years ago
Sole proprietor ¹	Yes
Identifiers	AL License # 00017267 FL License # ME41703 AL Medicaid 000045268 AL Medicaid 000045269 AL Medicaid 000045271 AL Medicaid 000085892 AL Medicaid 009931135 AL Medicaid 009931145 AL Medicaid 009945535 AL Medicaid 009945545 AL Medicaid 009945555 AL Medicaid 009951055 AL Medicaid 107076 AL Medicaid 107078 AL Medicaid 108078 AL Medicaid 108201 FL Medicaid 270023900 AL Other 000058867 IDTF AL Other 051504364 IDTF
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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