Moore, Deborah D

Moore, Deborah D is an individual health care provider with primary practice located at 1157 Forsyth St , Macon GA 31201-7452. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Moore, Deborah D can be contacted via phone (478) 745-8581.

Contact Information

Primary practice address
1157 Forsyth St Macon GA 31201-7452
Phone: (478) 745-8581
Fax: (478) 328-0438
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 002158 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 002158 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 002158 Georgia

Profile Details

NPI number 1609869197
LBN Legal business name Moore, Deborah D
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Apr 13th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609869197 NPPES
Georgia Other DC4061 RAILROAD MEDICARE
Georgia MEDICAID 100000662 RAILROAD MEDICARE
Georgia Other P00168580 RAILROAD MEDICARE

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