Moore, Efrim Cassius
Moore, Efrim Cassius is an individual health care provider with primary practice located at 1320 Oakside Dr Suite 203, Canton GA 30114-2475. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Moore, Efrim Cassius can be contacted via phone (770) 479-2322.Contact Information
Primary practice address
1320 Oakside Dr Suite 203
Canton GA 30114-2475
Phone: (770) 479-2322
Fax: (770) 720-7695
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 033780 | Georgia |
Profile Details
| NPI number | 1679575005 |
|---|---|
| LBN Legal business name | Moore, Efrim Cassius |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Jul 26th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679575005 | NPPES |
| Georgia | MEDICAID | 000451019F |
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