Chaska Lashawn Moore in Jonesboro - Physician Assistant
Chaska Lashawn Moore - NPI 1932305810
Chaska Lashawn Moore is a Physician Assistant in Jonesboro, Georgia. Chaska Lashawn Moore practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Chaska Lashawn Moore is 1932305810. The last update date is 2007-07-08.
Chaska Lashawn Moore's current location address is 750 Mount Zion Rd, Jonesboro, Georgia. You can contact this provider via phone number 7709608855. The mailing address for Chaska Lashawn Moore is 750 Mount Zion Rd, Jonesboro, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Chaska Lashawn Moore |
|---|---|
| Address | 750 Mount Zion Rd, Jonesboro, Georgia |
| Phone Number | 7709608855 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1932305810 |
|---|---|
| Provider Enumeration Date | 2007-06-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 750 Mount Zion Rd |
|---|---|
| City | Jonesboro |
| State | Georgia (GA) |
| Post Code | 302363002 |
| Phone Number | 7709608855 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 4012 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identifier code assigned to Chaska Lashawn Moore by the Centers for Medicare & Medicaid Services?
The Chaska Lashawn Moore has been issued the NPI (National Provider Identifier) 1932305810 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Chaska Lashawn Moore's physical address?
The Chaska Lashawn Moore is physically located at 750 Mount Zion Rd, in the city of Jonesboro, GA, with the postal code 302363002.
What is the area of specialization for Chaska Lashawn Moore, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Chaska Lashawn Moore is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
When was the Chaska Lashawn Moore's 1932305810 issued?
The Chaska Lashawn Moore's 1932305810 was issued on 2007-06-26.
When was the Chaska Lashawn Moore's information last updated?
The Chaska Lashawn Moore's information was last updated on 2007-07-08.