| Chrisalyn Moore, | |
|
393 N Belair Rd, Evans, GA 30809-3096 | |
| (706) 868-0104 | |
| Not Available |
| Full Name | Chrisalyn Moore |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 393 N Belair Rd, Evans, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326862582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 12667 (Georgia) | Primary |
| Entity Name | Gastroenterology Consultants Of Augusta, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508089137 PECOS PAC ID: 4486643434 Enrollment ID: O20040506001129 |
| Mailing Address | Practice Location Address |
|---|---|
| Chrisalyn Moore, 1094 Linsmore Avenue, Grovetown, GA 30813 Ph: (912) 536-4881 | Chrisalyn Moore, 393 N Belair Rd, Evans, GA 30809-3096 Ph: (706) 868-0104 |
Charles P Bean Jr., PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4350 Towne Centre Dr Ste 2200, Evans, GA 30809 Phone: 706-722-0705 Fax: 762-333-0496 | |
Zoe Renew Schultz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4321 University Pkwy Ste 104, Evans, GA 30809 Phone: 706-854-2198 | |
Karli Durden Nelson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4244 Washington Rd, Evans, GA 30809 Phone: 706-760-7607 | |
Jessica Fields, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 902 Ponder Place Ct, Suite 3, Evans, GA 30809 Phone: 706-364-3223 Fax: 706-364-4918 | |
Mr. William Samuel Rutledge, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1175 Dartmore Ct, Evans, GA 30809 Phone: 706-868-6282 | |
Delores Schwartz, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1205 Town Park Ln, Evans, GA 30809 Phone: 706-868-3100 Fax: 706-228-3125 | |
Mr. Keenan F Templeton, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1205 Town Park Ln, Evans, GA 30809 Phone: 706-868-3100 Fax: 706-228-3125 |