| Dr Gary Arlan Moore, MD, FAAFP, FACEP | |
|
1508 Tombras Ave, East Ridge, TN 37412 | |
| (423) 867-4969 | |
| (423) 867-4971 |
| Full Name | Dr Gary Arlan Moore |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1508 Tombras Ave, East Ridge, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306888300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 29619 (Tennessee) | Secondary |
| 207Q00000X | Family Medicine | 29619 (Tennessee) | Primary |
| Entity Name | Houston County Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013338193 PECOS PAC ID: 2264663756 Enrollment ID: O20140326001461 |
| Entity Name | Afc Physicians Of Georgia Primary Care, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780062380 PECOS PAC ID: 3072818095 Enrollment ID: O20160229001243 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gary Arlan Moore, MD, FAAFP, FACEP 1508 Tombras Ave, East Ridge, TN 37412-2720 Ph: (423) 867-4969 | Dr Gary Arlan Moore, MD, FAAFP, FACEP 1508 Tombras Ave, East Ridge, TN 37412 Ph: (423) 867-4969 |
Dr. Kenneth W Patric Jr., MD Family Medicine Medicare: Medicare Enrolled Practice Location: 403 Mcbrien Rd, East Ridge, TN 37412 Phone: 423-875-0700 | |
Dr. Randy Robert Heisser, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1508 Tombras Ave, East Ridge, TN 37412 Phone: 423-867-4969 Fax: 423-867-4971 | |
Dr. Bruce Allen Pendley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1508 Tombras Ave, East Ridge, TN 37412 Phone: 423-867-4969 Fax: 423-867-4971 |