Individual
DR. LINDA J MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
850 BROOKSTONE CENTRE PKWY STE 200, COLUMBUS, GA 31904-9245
(706) 507-4242
(706) 507-4227
Mailing address
850 BROOKSTONE CENTRE PKWY STE 200, COLUMBUS, GA 31904-9245
(706) 507-4242
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
055849
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202I081211
MEDICARE PTAN
GA
05
—
420338399A
—
GA
05
—
420338399E
—
GA
01
—
P01353083
RAILROAD MEDICARE
GA
Enumeration date
10/04/2005
Last updated
01/25/2024
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