Male or Other

Dr. David K. Moore M.D.

Family Medicine Physician in Rincon, GA(View on Map)

Full Name

Dr. David Keith Moore M.D.

NPI Number

1942479530

NPI Type

Individual Provider

Gender

Male

Enumeration Date

02/27/2008

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Georgia

License Number

92553

Contact
Information

Purpose

Mailing
Location

Address

100 GOSHEN RD
100 GOSHEN RD

City

Rincon
Rincon

State

GA
GA

Postal Code

31326-5744
31326-5744

Country

US
US

Telephone Number

(912) 826-6000
(912) 826-6000

Identifiers

Identifier

1031086438

Identifier State

GA

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/04/2024

Provider Address

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