Dr Larry Russell Moorman, MD | |
1803 Old Ocilla Rd, Tifton, GA 31794-1617 | |
(229) 386-2181 | |
(229) 386-2193 |
Full Name | Dr Larry Russell Moorman |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Location | 1803 Old Ocilla Rd, Tifton, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518978881 | NPI | - | NPPES |
000018334A4 | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 014938 (Georgia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Larry Russell Moorman, MD 1803 Old Ocilla Rd, Tifton, GA 31794-1617 Ph: (229) 386-2181 | Dr Larry Russell Moorman, MD 1803 Old Ocilla Rd, Tifton, GA 31794-1617 Ph: (229) 386-2181 |
Dr. Robert Jon Holme, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 1803 Old Ocilla Rd, Tifton, GA 31794 Phone: 229-386-2181 Fax: 229-386-2193 | |
Dr. Bret Bouton Wagenhorst, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1803 Old Ocilla Rd, Tifton, GA 31794 Phone: 229-386-2181 Fax: 229-386-2193 |