Freaddie V Moore in Augusta - Anesthesiologist Assistant
Freaddie V Moore - NPI 1265542245
Freaddie V Moore is a Anesthesiologist Assistant in Augusta, Georgia. Freaddie V Moore practices all healthcare services and medical treatments related to Anesthesiologist Assistant. The NPI Number for Freaddie V Moore is 1265542245. The last update date is 2012-03-30.
Freaddie V Moore's current location address is 804 Scott Nixon Memorial Drive, Augusta, Georgia. You can contact this provider via phone number 8003944445 and fax number 7066501034. The mailing address for Freaddie V Moore is 804 Scott Nixon Memorial Drive, Augusta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Freaddie V Moore |
|---|---|
| Address | 804 Scott Nixon Memorial Drive, Augusta, Georgia |
| Phone Number | 8003944445 |
| Fax Number | 7066501034 |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1265542245 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2012-03-30 |
Provider Mailing Address Detail
| Address | 804 Scott Nixon Memorial Drive |
|---|---|
| City | Augusta |
| State | Georgia (GA) |
| Post Code | 309072464 |
| Phone Number | 8003944445 |
| Fax Number | 7066501034 |
Provider's Primary Taxonomy Detail
| Speciality | Anesthesiologist Assistant |
|---|---|
| Taxonomy | 367H00000X |
| Licence No | 4704100987 |
|
Definition: An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesth |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4834216-10 | MI | -- | |
| 11802435 | CAQH |
Post Comment/ Review Below
What is the unique provider identifier assigned to Freaddie V Moore?
The Freaddie V Moore has been issued the NPI (National Provider Identifier) 1265542245 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Freaddie V Moore?
The Freaddie V Moore is physically situated at 804 Scott Nixon Memorial Drive, in the city of Augusta, state of GA, with the postal code 309072464.
What is the area of specialization for Freaddie V Moore, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Freaddie V Moore is Anesthesiologist Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 367H00000X.
On what date did Freaddie V Moore receive its 1265542245 assignment from the Centers for Medicare & Medicaid Services?
The Freaddie V Moore was assigned its 1265542245 on 2006-08-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Freaddie V Moore last refreshed?
The information related to the Freaddie V Moore, including its address, specialty, and other relevant details, was last updated on 2012-03-30.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH