Basic Information
| Provider Information | |||||||||
| NPI: | 1316952054 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | LAMAR MOREE, JR. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 584 | ||||||||
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| City: | ALBANY | ||||||||
| State: | GA | ||||||||
| PostalCode: | 317020584 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2294388551 | ||||||||
| FaxNumber: | 2294363718 | ||||||||
| Practice Location | |||||||||
| Address1: | 417 W 3RD AVE | ||||||||
| Address2: | PHOEBE PUTNEY OUTPATIENT PAIN MANAGEMENT CENTER | ||||||||
| City: | ALBANY | ||||||||
| State: | GA | ||||||||
| PostalCode: | 317011943 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2294388551 | ||||||||
| FaxNumber: | 2294363718 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/30/2006 | ||||||||
| LastUpdateDate: | 05/01/2019 | ||||||||
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| AuthorizedOfficialLastName: | BACK | ||||||||
| AuthorizedOfficialFirstName: | NANCY | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRACTICE MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 2294399400 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208VP0014X | GA | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Pain Medicine | Interventional Pain Medicine |
No ID Information.