Charles B Moomey Jr Md

LBN: Charles B Moomey Jr Md
Charles B Moomey Jr Md is an health care organization with primary practice located at 631 Professional Drive Suite 300, Lawrenceville GA 30046-3371. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as the primary health care specialty. Charles B Moomey Jr Md can be contacted via phone (770) 962-9977, or through Moomey, Charles Bruce via phone (770) 962-9977.

Contact Information

Primary practice address
631 Professional Drive Suite 300 Lawrenceville GA 30046-3371
Phone: (770) 962-9977
Fax: (770) 339-9804
Website:
Map and Directions
Authorized official contact:
Name: Moomey, Charles Bruce Doctor of Medicine (MD)
Phone: (770) 962-9977

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 049923 Georgia

Profile Details

NPI number 1902003841
LBN Legal business name Charles B Moomey Jr Md
DBA Doing business as
Authorized official Moomey, Charles Bruce Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2007
Last updated Sep 1st, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902003841 NPPES
Georgia MEDICAID 00899951A

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