Kristen Kosola Moore, | |
208 Smith St, Lagrange, GA 30240-2755 | |
(706) 845-7002 | |
(706) 845-0488 |
Full Name | Kristen Kosola Moore |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 27 Years |
Location | 208 Smith St, Lagrange, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346380698 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 006298 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hughston Clinic Pc | 1355254780 | 99 |
Provider Name | Hughston Clinic Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1164461190 PECOS PAC ID: 1355254780 Enrollment ID: O20031111000330 |
Mailing Address | Practice Location Address |
---|---|
Kristen Kosola Moore, Po Box 370, Fortson, GA 31808-0370 Ph: () - | Kristen Kosola Moore, 208 Smith St, Lagrange, GA 30240-2755 Ph: (706) 845-7002 |
Dr. Joshua Young Davis, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-845-3677 Fax: 706-845-3700 | |
Joanne Robben, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1805 Vernon Rd, Suite A, Lagrange, GA 30240 Phone: 706-845-9383 Fax: 706-845-9482 | |
Mr. Timothy Eugene Moore, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 107 Calumet Center Rd, Lagrange, GA 30241 Phone: 706-884-3274 Fax: 706-882-2940 | |
Amy Purdy, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1075 Lafayette Pkwy, Lagrange, GA 30241 Phone: 706-350-1338 | |
David J Buuck, PT DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1805 Vernon Rd Ste A, Lagrange, GA 30240 Phone: 706-845-9383 | |
Kevin Baerwalde, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 302 S Greenwood St, Lagrange, GA 30240 Phone: 706-884-8360 Fax: 706-884-0265 |