person
Charles Bruce Moomey JR., MD
Vascular Surgery Physician in Gainesville, Georgia
NPI 1689671364

Charles Bruce Moomey JR. is a Vascular Surgery Physician based in Gainesville, GA and is specialized in Vascular Surgery. Charles Bruce Moomey JR. practices in Gainesville, GA and has the professional credentials of MD. The NPI Number for Charles Bruce Moomey JR. is 1689671364 and holds a License No. 049923 (Georgia).

The current practice location address for Charles Bruce Moomey JR. is 725 Jesse Jewell Pkwy Se, Gainesville, GA and can be reached out via phone at 678-207-4000 and via fax at 770-531-2435.

Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA, 30503-0658
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Provider Profile Details
NPI Number
1689671364
Provider Name
Charles Bruce Moomey JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
725 Jesse Jewell Pkwy Se, Gainesville, GA, 30503-0658
Phone Number
678-207-4000
Fax Number
770-531-2435
Provider Enumeration Date
07/07/2005
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00899951A 05 GA
GRP7416 01 GA MEDICARE GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
725 Jesse Jewell Pkwy Se
City
State
Zip
30501-3834
Phone Number
678-207-4000
Fax Number
770-531-2435
person
Provider Business Mailing Address Details
Address
725 Jesse Jewell Pkwy Se
City
State
Zip
30501-3834
Phone Number
678-207-4000
Fax Number
770-531-2435
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
License No.
049923 (Georgia)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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