Healthcare Provider Details

I. General information

NPI: 1457467680
Provider Name (Legal Business Name): JOHN SIDNEY MOREE M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 04/22/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HIGH LANDS PEDIATRICS 26210 LEE HIGHWAY
ABINGDON VA
24211
US

IV. Provider business mailing address

NAVAL MEDICAL CENTER 100 BREWSTER BLVD
CAMP LEJEUNE NC
25847-2538
US

V. Phone/Fax

Practice location:
  • Phone: 276-623-8188
  • Fax: 276-623-8126
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number00024569
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: