Paul Douglas Moore in Greenville - Family Medicine
Paul Douglas Moore - NPI 1194769661
Paul Douglas Moore is a Family Medicine in Greenville, South Carolina. Paul Douglas Moore practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Paul Douglas Moore is 1194769661. The last update date is 2018-11-19.
Paul Douglas Moore's current location address is 1 Independence Pt Ste 212, Greenville, South Carolina. You can contact this provider via phone number 8647976174. The mailing address for Paul Douglas Moore is 1 Independence Pt Ste 212, Greenville, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Douglas Moore |
|---|---|
| Address | 1 Independence Pt Ste 212, Greenville, South Carolina |
| Phone Number | 8647976174 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1194769661 |
|---|---|
| Provider Enumeration Date | 2006-06-15 |
| Last Updated Date | 2018-11-19 |
Provider Mailing Address Detail
| Address | 1 Independence Pt Ste 212 |
|---|---|
| City | Greenville |
| State | South Carolina (SC) |
| Post Code | 296154536 |
| Phone Number | 8647976174 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 23342 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4591406 | SC | AETNA ID |
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What is the unique identification code assigned to Paul Douglas Moore by the Centers for Medicare & Medicaid Services?
The Paul Douglas Moore has been issued the NPI (National Provider Identifier) 1194769661. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Paul Douglas Moore located?
The Paul Douglas Moore is located at 1 Independence Pt Ste 212, Greenville, SC 296154536.
What is Paul Douglas Moore's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Paul Douglas Moore is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1194769661 to Paul Douglas Moore?
The Centers for Medicare & Medicaid Services originally issued the 1194769661 to Paul Douglas Moore on 2006-06-15.
As of what date were the Paul Douglas Moore's details last updated?
The information pertaining to the Paul Douglas Moore, including its address, specialty, and other details, was most recently updated on 2018-11-19.
NPI Number: 1528061793
Address: 103 A South Park Dr., Brownwood, TX