Moore, Melvin R
Moore, Melvin R is an individual health care provider with primary practice located at 2712 Lawrenceville Hwy , Decatur GA 30033-2512. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Moore, Melvin R can be contacted via phone (770) 496-5555.Contact Information
Primary practice address
2712 Lawrenceville Hwy
Decatur GA 30033-2512
Phone: (770) 496-5555
Fax: (770) 939-2887
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 016647 | Georgia |
Profile Details
| NPI number | 1871571562 |
|---|---|
| LBN Legal business name | Moore, Melvin R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2006 |
| Last updated | Apr 27th, 2009 - about 16 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 | 1871571562 | NPPES |
| Georgia | MEDICAID | 00011327E |
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