Elizabeth M Moore, CNS | |
3650 Steve Reynolds Boul, Duluth, GA 30096 | |
(770) 931-6012 | |
Not Available |
Full Name | Elizabeth M Moore |
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Gender | Female |
Speciality | Clinical Nurse Specialist |
Location | 3650 Steve Reynolds Boul, Duluth, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598857377 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
364S00000X | Clinical Nurse Specialist | RN054545 (Georgia) | Primary |
Entity Name | The Southeast Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
Mailing Address | Practice Location Address |
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Elizabeth M Moore, CNS 3495 Piedmont Road Ne, Nine Piedmont Center, Atlanta, GA 30305 Ph: (404) 364-7000 | Elizabeth M Moore, CNS 3650 Steve Reynolds Boul, Duluth, GA 30096 Ph: (770) 931-6012 |
Nanyoung Park, ANP-BC Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 3590 Peachtree Industrial Blvd, Duluth, GA 30096 Phone: 770-614-9799 Fax: 770-614-9789 | |
Ms. Regina Canty, NP Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 3650 Steve Reynolds Blvd, Kaiser Permanente Gwinnett Medical Office, Duluth, GA 30096 Phone: 770-931-6012 | |
Anne Elizabeth Hysong, APRN, CCNS, ACNS-BC Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 3620 Howell Ferry Rd, Duluth, GA 30096 Phone: 678-312-6346 | |
Mary F Kozel, CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: Department Of Behavioral Health, 3650 Steve Reynolds Boul, Duluth, GA 30096 Phone: 770-931-6012 |