Mrs Dana Lewis Moore, FNP-C | |
104 Fairview Park Dr, Dublin, GA 31021-2500 | |
(478) 272-1366 | |
(478) 277-1251 |
Full Name | Mrs Dana Lewis Moore |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 104 Fairview Park Dr, Dublin, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992107411 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN123301 (Georgia) | Primary |
Entity Name | Dim Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457605867 PECOS PAC ID: 9133372782 Enrollment ID: O20130109000490 |
Mailing Address | Practice Location Address |
---|---|
Mrs Dana Lewis Moore, FNP-C Po Box 1528, Dublin, GA 31040-1528 Ph: (478) 272-1366 | Mrs Dana Lewis Moore, FNP-C 104 Fairview Park Dr, Dublin, GA 31021-2500 Ph: (478) 272-1366 |
Mrs. Tabitha Hendrix Mullis, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 206 Hospital Dr Ste A, Dublin, GA 31021 Phone: 478-272-3525 Fax: 478-272-3589 | |
Mrs. Tamara Kate Mccullars, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2400 Bellevue Rd Ste 23, Dublin, GA 31021 Phone: 478-272-8580 Fax: 478-275-0012 | |
Shannon Gay, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1006 Hillcrest Pkwy Ste 1, Dublin, GA 31021 Phone: 478-272-8140 | |
Mrs. Jacquelyn S Purser, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2121a Bellevue Rd, Dublin, GA 31021 Phone: 478-272-1190 Fax: 478-275-6509 | |
Charisse Holmes, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2400 Bellevue Rd Ste 2, Dublin, GA 31021 Phone: 478-272-8580 | |
Demi Sharice Murray, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1826 Veterans Blvd, Dublin, GA 31021 Phone: 478-290-5984 | |
Dayana Ferguson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 102 Bowling Ln, Dublin, GA 31021 Phone: 478-272-0203 |