Individual
STEVEN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
908 HILLCREST PKWY, DUBLIN, GA 31021-4206
(478) 272-7411
(478) 274-9809
Mailing address
908 HILLCREST PKWY, DUBLIN, GA 31021-4206
(478) 272-7411
(478) 274-9809
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004555
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00411777
RAILROAD MEDICARE
—
Enumeration date
08/17/2006
Last updated
03/19/2008
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