Moore, Mark G.
Moore, Mark G. is an sole proprietor health care provider with primary practice located at 700 24Th St , Fort Lee VA 23801-1716. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Moore, Mark G. can be contacted via phone (804) 734-9942.Contact Information
Primary practice address
700 24Th St
Fort Lee VA 23801-1716
Phone: (804) 734-9942
Fax: (877) 874-1008
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 3260 | Georgia |
Profile Details
| NPI number | 1861504326 |
|---|---|
| LBN Legal business name | Moore, Mark G. |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | May 9th, 2011 - about 13 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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