Individual
DR. DAVID KEITH MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 GOSHEN RD, RINCON, GA 31326-5744
(912) 826-6000
(912) 826-6016
Mailing address
100 GOSHEN RD, RINCON, GA 31326-5744
(912) 826-6000
(912) 826-6016
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
92553
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031086438
—
GA
Enumeration date
02/27/2008
Last updated
03/04/2024
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