| Paul Douglas Moore, MD | |
|
910 N Main St Ste 100, Fountain Inn, SC 29644-1320 | |
| (864) 967-4982 | |
| Not Available |
| Full Name | Paul Douglas Moore |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 34 Years |
| Location | 910 N Main St Ste 100, Fountain Inn, South Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194769661 | NPI | - | NPPES |
| 4591406 | Other | SC | AETNA ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 23342 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Francis-downtown | Greenville, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Francis Physician Services Inc | 6608826821 | 103 |
| Entity Name | Greenville Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568532513 PECOS PAC ID: 8123938131 Enrollment ID: O20031212000723 |
| Entity Name | St Francis Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871895771 PECOS PAC ID: 6608826821 Enrollment ID: O20050126000259 |
| Entity Name | Prisma Health-upstate |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649726738 PECOS PAC ID: 5698063162 Enrollment ID: O20161222000767 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Douglas Moore, MD 1 Independence Pt Ste 212, Greenville, SC 29615-4536 Ph: (864) 797-6174 | Paul Douglas Moore, MD 910 N Main St Ste 100, Fountain Inn, SC 29644-1320 Ph: (864) 967-4982 |
Mr. Anand R Swamy, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 910 N Main St, Fountain Inn, SC 29644 Phone: 864-967-4982 Fax: 888-372-4903 | |
Dr. Robert Michael Hellams, Family Medicine Medicare: Medicare Enrolled Practice Location: 200 N Nelson Dr, Fountain Inn, SC 29644 Phone: 864-522-3270 Fax: 864-522-6275 | |
Dr. James Roger Mahon, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 300 S Main St, Fountain Inn Family Practice, Fountain Inn, SC 29644 Phone: 864-862-3471 Fax: 864-862-2444 | |
Caroline Parkin Faircloth, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 200 N Nelson Dr, Fountain Inn, SC 29644 Phone: 864-522-6270 Fax: 864-522-6275 |