James Lewis Moore, MD | |
740 Prince Ave, Bldg 10, Athens, GA 30606-5908 | |
(706) 850-3603 | |
(706) 850-8856 |
Full Name | James Lewis Moore |
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Gender | Male |
Speciality | Plastic Surgery |
Location | 740 Prince Ave, Athens, Georgia |
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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1538175641 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208200000X | Plastic Surgery | 021556 (Georgia) | Primary |
Entity Name | Athens Regional Specialty Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083939136 PECOS PAC ID: 8325162340 Enrollment ID: O20100827000645 |
Mailing Address | Practice Location Address |
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James Lewis Moore, MD 740 Prince Ave, Bldg 10, Athens, GA 30606-5908 Ph: (706) 850-3603 | James Lewis Moore, MD 740 Prince Ave, Bldg 10, Athens, GA 30606-5908 Ph: (706) 850-3603 |
Dr. Stephen Lober, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2325 Prince Ave, Athens, GA 30606 Phone: 706-546-0280 Fax: 706-548-0258 | |
Dr. John Hurteau, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2325 Prince Ave, Athens, GA 30606 Phone: 706-546-0280 Fax: 706-548-0258 | |
Cesar Augustus Gumucio, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 489 N Milledge Ave, Athens, GA 30601 Phone: 706-613-6650 Fax: 706-613-6868 | |
Chelsea Meredith Venditto, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 489 N Milledge Ave, Athens, GA 30601 Phone: 706-363-0256 Fax: 706-622-4360 | |
Mr. Clyde Edwin Pittman, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3320 Old Jefferson Road, Bldg 100, Athens, GA 30607 Phone: 706-353-3600 Fax: 706-353-3777 |