Dr David Lavon Moore, MD is a
General Practice physician based in Soperton, Georgia. Dr David Lavon Moore is licensed to practice in Georgia (license number 023639) and his current practice location is 4101 Cascade Circle, Soperton, Georgia. He can be reached at his office (for appointments etc.) via phone at
(478) 984-1420.
NPI number for Dr David Lavon Moore is 1144431479 and his current mailing address is 1471 Coleman Register Road, Rentz, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1144431479.
Physician's Profile
| Full Name | Dr David Lavon Moore |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 4101 Cascade Circle, Soperton, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1144431479
- Provider Enumeration Date: 05/25/2007
- Last Update Date: 07/08/2009
Medical Identifiers
Medical identifiers for Dr David Lavon Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144431479 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 023639 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr David Lavon Moore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr David Lavon Moore, MD
1471 Coleman Register Road,
Rentz, GA 31075-0321
Ph: (478) 984-1420 | Dr David Lavon Moore, MD
4101 Cascade Circle,
Soperton, GA 30457
Ph: (478) 984-1420 |
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