Moore, Charles

Moore, Charles is an individual health care provider with primary practice located at 3950 Austell Rd , Austell GA 30106-1121. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Moore, Charles can be contacted via phone (770) 732-4000.

Contact Information

Primary practice address
3950 Austell Rd Austell GA 30106-1121
Phone: (770) 732-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 30655 Georgia

Profile Details

NPI number 1285733220
LBN Legal business name Moore, Charles
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Jul 9th, 2007 - about 17 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 1285733220 NPPES
Georgia MEDICAID 00458675E

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