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Matthew Benjamin Moore, MD
Student in an Organized Health Care Education/Training Program in Macon, Georgia
NPI 1013767193

Matthew Benjamin Moore is a Student in an Organized Health Care Education/Training Program based in Macon, GA. Matthew Benjamin Moore practices in Macon, GA and has the professional credentials of MD. The NPI Number for Matthew Benjamin Moore is 1013767193 and holds a License No. (Georgia).

The current practice location address for Matthew Benjamin Moore is 777 Hemlock Street Ln # 165, Macon, GA and can be reached out via phone at 478-633-1634 and via fax at 478-633-1578.

Location: 777 Hemlock Street Ln # 165, Macon, GA, 31201-2168
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013767193
Provider Name
Matthew Benjamin Moore
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
777 Hemlock Street Ln # 165, Macon, GA, 31201-2168
Phone Number
478-633-1634
Fax Number
478-633-1578
Provider Enumeration Date
03/25/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
777 Hemlock Street Ln # 165
City
Macon
State
Georgia
Zip
31201-2168
Phone Number
478-633-1634
Fax Number
478-633-1578
person
Provider Business Mailing Address Details
Address
777 Hemlock Street Ln # 165
City
Macon
State
Georgia
Zip
31201-2168
Phone Number
478-633-1634
Fax Number
478-633-1578
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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