Moore's Medical Management | |
2333 Murdock Rd Marietta GA 30062-4572 | |
(404) 472-7345 | |
Not Available |
Full Name | Moore's Medical Management |
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Speciality | Internal Medicine |
Location | 2333 Murdock Rd, Marietta, Georgia |
Authorized Official Name and Position | Xavier C Moore (OWNER) |
Authorized Official Contact | 6783828091 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Moore's Medical Management 2333 Murdock Rd Marietta GA 30062-4572 Ph: (404) 472-7345 | Moore's Medical Management 2333 Murdock Rd Marietta GA 30062-4572 Ph: (404) 472-7345 |
NPI Number | 1396039988 |
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Provider Enumeration Date | 06/01/2011 |
Last Update Date | 02/26/2023 |
Medicare PECOS PAC ID | 0042489411 |
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Medicare Enrollment ID | O20110802000238 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396039988 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 055619 (Georgia) | Primary |
Provider Name | Xavier C Moore |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1982787297 PECOS PAC ID: 7810924594 Enrollment ID: I20050725000692 |
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