Moore, David Baker
Moore, David Baker is an individual health care provider with primary practice located at 209 Kelvington Way , Peachtree City GA 30269-5620. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Moore, David Baker can be contacted via phone (678) 588-4065.Contact Information
Primary practice address
209 Kelvington Way
Peachtree City GA 30269-5620
Phone: (678) 588-4065
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 27227 | Georgia |
Profile Details
| NPI number | 1851499719 |
|---|---|
| LBN Legal business name | Moore, David Baker |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Apr 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851499719 | NPPES |
| Georgia | MEDICAID | 00350523E |
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