Andrew J Moore, MD | |
2525 Court Drive Gastonia Physician Services, Pllc, Gastonia, NC 28054-2140 | |
(704) 834-3471 | |
Not Available |
Full Name | Andrew J Moore |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 2525 Court Drive Gastonia Physician Services, Pllc, Gastonia, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1336400639 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207P00000X | Emergency Medicine | 252576 (Maryland) | Secondary |
207P00000X | Emergency Medicine | 2014-02448 (North Carolina) | Primary |
Entity Name | Gastonia Physician Services Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316367691 PECOS PAC ID: 3870719602 Enrollment ID: O20140730002523 |
Mailing Address | Practice Location Address |
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Andrew J Moore, MD 2525 Court Drive Gastonia Physician Services, Pllc, Gastonia, NC 28054-2140 Ph: (704) 834-3471 | Andrew J Moore, MD 2525 Court Drive Gastonia Physician Services, Pllc, Gastonia, NC 28054-2140 Ph: (704) 834-3471 |
Dr. Ian Oluremilekun Cole, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2525 Court Dr, Gastonia, NC 28054 Phone: 704-834-2000 | |
Dino A Graziano, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3104 Love Ct, Gastonia, NC 28056 Phone: 704-813-9463 | |
Kyle Roedersheimer, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2525 Court Dr, Gastonia, NC 28054 Phone: 704-834-2000 | |
Timothy F Corvino, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2525 Court Dr, Gastonia, NC 28054 Phone: 330-493-4443 Fax: 330-493-8677 | |
Dr. Karen B Bentley, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2525 Court Dr, Gastonia, NC 28054 Phone: 704-834-2662 Fax: 704-834-2686 | |
Dr. Renee Annette Fulbright, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2525 Court Dr, Department Of Emergency Medicine Gaston Memorial Hosp., Gastonia, NC 28054 Phone: 704-834-2266 |