Mr Timothy Eugene Moore, PT | |
107 Calumet Center Rd, Lagrange, GA 30241-6705 | |
(706) 884-3274 | |
(706) 882-2940 |
Full Name | Mr Timothy Eugene Moore |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 28 Years |
Location | 107 Calumet Center Rd, Lagrange, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184721177 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 005660 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hughston Clinic Pc | 1355254780 | 99 |
Provider Name | Hughston Clinic Pc |
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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 |
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Mr Timothy Eugene Moore, PT Po Box 370, Fortson, GA 31808-0370 Ph: () - | Mr Timothy Eugene Moore, PT 107 Calumet Center Rd, Lagrange, GA 30241-6705 Ph: (706) 884-3274 |
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 | |
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 | |
Kristen Kosola Moore, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 208 Smith St, Lagrange, GA 30240 Phone: 706-845-7002 Fax: 706-845-0488 |