George Moore, is a
Family Medicine physician based in Mc Coll, South Carolina. George Moore is licensed to practice in South Carolina (license number 5711) and his current practice location is 225 S Main St, Mc Coll, South Carolina. He can be reached at his office (for appointments etc.) via phone at
(843) 523-5751.
NPI number for George Moore is 1457464554 and his current mailing address is 225 S Main St, Mc Coll, South Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457464554.
Physician's Profile
| Full Name | George Moore |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 225 S Main St, Mc Coll, South Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1457464554
- Provider Enumeration Date: 08/16/2006
- Last Update Date: 09/05/2017
Medical Identifiers
Medical identifiers for George Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457464554 | NPI | - | NPPES |
| 057119 | Medicaid | SC | |
| P00169807 | Other | SC | RAILROAD MEDICARE PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 5711 (South Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. George Moore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
George Moore,
225 S Main St,
Mc Coll, SC 29570-2020
Ph: () - | George Moore,
225 S Main St,
Mc Coll, SC 29570-2020
Ph: (843) 523-5751 |
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