Bridgett Moore, MD - Valdosta, GA

Bridgett Moore, MD

Specialist in Valdosta, Georgia

NPI 1679764757

Bridgett Moore is a Specialist based in Valdosta, GA. Bridgett Moore practices in Valdosta, GA and has the professional credentials of MD. The NPI Number for Bridgett Moore is 1679764757 and holds a License No. 39418 (Georgia).

The current practice location address for Bridgett Moore is 2810 N Oak St, Valdosta, GA and can be reached out via phone at 229-259-0019 and via fax at 229-259-0209.

Location: 2810 N Oak St, Valdosta, GA, 31602-1716

NPI Number

1679764757

Provider Name

Bridgett Moore

Credential

Provider Entity Type

Individual

Gender

Female

Address

2810 N Oak St, Valdosta, GA, 31602-1716

Phone Number

229-259-0019

Fax Number

229-259-0209

Provider Enumeration Date

08/05/2007

Last Update Date

03/09/2024

Identifier	Type	State	Issuer
598880	01	GA	BCBS GA PROVIDER #
00830277A	05	GA
110206439	01	GA	MEDICARE RR PROVIDER #

Address

2810 N Oak St

City

Valdosta

State

Georgia

Zip

31602-1716

Phone Number

229-259-0019

Fax Number

229-259-0209

Address

2810 N Oak St

City

Valdosta

State

Georgia

Zip

31602-1716

Phone Number

229-259-0019

Fax Number

229-259-0209

Type

Other Service Providers

Classification

Specialist

Speciality

Taxonomy

174400000X

License No.

39418 (Georgia)

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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