Moore, Frederick Stephen
Moore, Frederick Stephen is an individual health care provider with primary practice located at 2324 Limestone Overlook , Gainesville GA 30501-7443. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Moore, Frederick Stephen can be contacted via phone (770) 536-8109.Contact Information
Primary practice address
2324 Limestone Overlook
Gainesville GA 30501-7443
Phone: (770) 536-8109
Fax: (770) 536-3203
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 022254 | Georgia |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 022254 | Georgia |
Profile Details
| NPI number | 1104876440 |
|---|---|
| LBN Legal business name | Moore, Frederick Stephen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2006 |
| Last updated | Feb 1st, 2024 - about 10 months 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 | 1104876440 | NPPES |
| Georgia | MEDICAID | 000224738A |
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