Ms Charlsie Faith Moore, RN is a
Registered Nurse based in Grantville, Georgia. Ms Charlsie Faith Moore is licensed to practice in Georgia (license number RN168618) and her current practice location is
1545 Bethlehem Church Rd, Grantville, Georgia. She can be reached at her office (for appointments etc.) via phone at
(770) 820-5438.
NPI number for Ms Charlsie Faith Moore is 1902042799 and her current mailing address is 1545 Bethlehem Church Rd, Grantville, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902042799.
Provider's Profile
Full Name | Ms Charlsie Faith Moore |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 1545 Bethlehem Church Rd, Grantville, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1902042799
- Provider Enumeration Date: 12/28/2008
- Last Update Date: 12/28/2008
Medical Identifiers
Medical identifiers for Ms Charlsie Faith Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902042799 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | RN168618 (Georgia) | Primary |
163W00000X | Registered Nurse | 0001200802 (Virginia) | Secondary |
163W00000X | Registered Nurse | 200020 (North Carolina) | Secondary |
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. Ms Charlsie Faith 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 |
Ms Charlsie Faith Moore, RN 1545 Bethlehem Church Rd, Grantville, GA 30220-1835 Ph: (770) 820-5438 | Ms Charlsie Faith Moore, RN 1545 Bethlehem Church Rd, Grantville, GA 30220-1835 Ph: (770) 820-5438 |
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