Matthew Moore
Specialist/Technologist, Athletic Trainer in Warner Robins, Georgia
1285173138- Practice location
- 200 Lasso Dr, Warner Robins, GA 31088-6648
- Phone
- 478-542-4918
- Fax
- —
- Last updated
- June 4, 2024
Matthew Moore is a Specialist/Technologist, Athletic Trainer based in Warner Robins, GA. Matthew Moore practices in Warner Robins, GA. The NPI Number for Matthew Moore is 1285173138 and holds a License No. 3774 (MA). The current practice location address for Matthew Moore is 200 Lasso Dr, Warner Robins, GA 31088-6648 and can be reached out via phone at 478-542-4918.
Provider Profile Details
- NPI Number
- 1285173138
- Provider Name
- Matthew Moore
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 200 Lasso Dr, Warner Robins, GA 31088-6648
- Phone Number
- 478-542-4918
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 13, 2017
- Last Update Date
- June 4, 2024
- Certification Date
- June 4, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 200 Lasso Dr
Warner Robins, GA 31088-6648 - City
- Warner Robins
- State
- Georgia
- Zip
- 31088-6648
- Phone Number
- 478-542-4918
Provider Business Mailing Address Details
- Address
- 4 Stone Ln Apt 5341
Malden, MA 02148-1579 - City
- Malden
- State
- MA
- Zip
- 02148-1579
- Phone Number
- 919-889-9367
License Information
- License Number
- 3774
- License State
- MA
- Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Matthew Moore?
The NPI number of Matthew Moore is 1285173138. It was assigned on February 13, 2017 and is currently active in the NPPES registry.
What is the specialty of Matthew Moore?
Matthew Moore is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MA under license number 3774.
Where does Matthew Moore practice?
The practice location is 200 Lasso Dr, Warner Robins, GA 31088-6648. The office can be reached at 478-542-4918 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1285173138 directly on the NPPES registry website.