Individual
DR. JOHN HOLLAND MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4425 PAULSEN ST, BUILDING A 1ST FLOOR, SAVANNAH, GA 31405-3662
(912) 350-6000
(912) 350-6001
Mailing address
6602 WATERS AVE BLDG A, SAVANNAH, GA 31406-2778
(912) 350-6000
(912) 350-6001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
60674
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151091217A
—
GA
05
—
151091217B
—
GA
05
—
G60674
—
SC
01
—
P00610142
RR MEDICARE
GA
Enumeration date
05/24/2007
Last updated
01/04/2022
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