| Dr Alexander Moore, MD | |
|
4502 Glenpointe Way Se, Smyrna, GA 30080-6985 | |
| (202) 213-2339 | |
| (678) 293-6860 |
| Full Name | Dr Alexander Moore |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 4502 Glenpointe Way Se, Smyrna, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689964751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 71133 (Georgia) | Primary |
| Entity Name | Northside Emergency Associates, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285686303 PECOS PAC ID: 9335135144 Enrollment ID: O20040426000165 |
| Entity Name | Gwinnett Emergency Specialists Observation Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720373129 PECOS PAC ID: 7618140955 Enrollment ID: O20111101000364 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Alexander Moore, MD 4502 Glenpointe Way Se, Smyrna, GA 30080-6985 Ph: (202) 213-2339 | Dr Alexander Moore, MD 4502 Glenpointe Way Se, Smyrna, GA 30080-6985 Ph: (202) 213-2339 |
Dr. Sandeep Kumar Govil, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3969 S Cobb Dr Se, Suite 202, Smyrna, GA 30080 Phone: 704-230-0000 | |
Dr. Juron S Foreman, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4552 Chelton Ct Se, Smyrna, GA 30080 Phone: 215-880-5026 | |
Dr. Fun Fong, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3949 S Cobb Dr Se, Smyrna, GA 30080 Phone: 770-438-5222 Fax: 770-434-5123 | |
Dr. Tameka Walker-blake, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3949 S Cobb Dr Se, Smyrna, GA 30080 Phone: 770-438-5222 | |
Dr. Eric Deal, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3949 S Cobb Dr Se, Smyrna, GA 30080 Phone: 770-438-5222 Fax: 770-434-5123 | |
Dr. Baber Rathur, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3949 S Cobb Dr Se, Smyrna, GA 30080 Phone: 770-438-5222 Fax: 770-434-5123 | |
Dr. George U Amah, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 736 Windy Hill Rd Se, Smyrna, GA 30080 Phone: 770-432-7736 Fax: 770-432-7768 |