Justin M Moore in Columbia - Family Medicine

Justin M Moore - NPI 1013178110

Justin M Moore is a Family Medicine in Columbia, South Carolina. Justin M Moore practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Justin M Moore is 1013178110. The last update date is 2023-02-16.

Justin M Moore's current location address is Po Box 100174, Columbia, South Carolina. You can contact this provider via phone number 8645125830 and fax number 8642244999. The mailing address for Justin M Moore is Po Box 100174, Columbia, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Justin M Moore
Address Po Box 100174, Columbia, South Carolina
Phone Number 8645125830
Fax Number 8642244999
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1013178110
Provider Enumeration Date 2008-06-20
Last Updated Date 2023-02-16

Provider Mailing Address Detail

Address Po Box 100174
City Columbia
State South Carolina (SC)
Post Code 292023174
Phone Number 8645125830
Fax Number 8642244999

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No LL31007
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
003111684A GA --
310078 SC --
P01170009 SC RR MEDICARE

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FAQs about Justin M Moore

What is the unique 10-digit identification code assigned to Justin M Moore by the Centers for Medicare & Medicaid Services?

The Justin M Moore has been issued the NPI (National Provider Identifier) 1013178110, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Justin M Moore located?

The Justin M Moore is located at Po Box 100174, Columbia, SC 292023174.

What is the Justin M Moore's area of specialization and corresponding taxonomy classification?

The Justin M Moore's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.

On what date did the Justin M Moore receive the assignment of its 1013178110 from the Centers for Medicare & Medicaid Services?

The Justin M Moore was issued its 1013178110 by the Centers for Medicare & Medicaid Services on 2008-06-20.

As of what date were the details pertaining to Justin M Moore last refreshed?

The information related to the Justin M Moore, including its address, specialty, and other relevant details, was last updated on 2023-02-16.

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