Clint J Moore, D.O. Valid NPI
Individual provider · Sports Medicine (Family Medicine) Physician · Fort Moore, GA
- NPI
- 1184064784
- Type
- Individual (Type 1)
- Primary specialty
- Sports Medicine (Family Medicine) Physician (Family Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207QS0010X
- License number
- 1251 (NE)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2013-06-27
- Last updated
- 2025-01-31
Practice location
6600 Van Aalst Blvd, Martin Army Community Hospital
Fort Moore, GA 31905
(850) 885-9977