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Derek Ronald Moore, MD
Orthopedic Surgery Physician in Gainesville, Georgia
NPI 1871516930

Derek Ronald Moore is a Orthopedic Surgery Physician based in Gainesville, GA. Derek Ronald Moore practices in Gainesville, GA and has the professional credentials of MD. The NPI Number for Derek Ronald Moore is 1871516930 and holds a License No. 054090 (Georgia).

The current practice location address for Derek Ronald Moore is 655 Jesse Jewell Pkwy Se, Gainesville, GA and can be reached out via phone at 770-532-7092 and via fax at 770-536-0383.

Location: 655 Jesse Jewell Pkwy Se, Gainesville, GA, 30503-0658
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871516930
Provider Name
Derek Ronald Moore
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
655 Jesse Jewell Pkwy Se, Gainesville, GA, 30503-0658
Phone Number
770-532-7092
Fax Number
770-536-0383
Provider Enumeration Date
07/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0901538 01 GA UHC
10062471 01 GA AMERIGROUP
203604041D 05 GA
7851732 01 GA AETNA
52703247 01 GA BCBS
203604041C 05 GA
4599810 01 GA CIGNA
P00349858 01 GA RR MEDICARE-GRP # CC4177
342650 01 GA WELLCARE
institution
Provider Business Practice Location Address Details
Address
655 Jesse Jewell Pkwy Se
City
Gainesville
State
Georgia
Zip
30501-3854
Phone Number
770-532-7092
Fax Number
770-536-0383
person
Provider Business Mailing Address Details
Address
655 Jesse Jewell Pkwy Se
City
Gainesville
State
Georgia
Zip
30501-3854
Phone Number
770-532-7092
Fax Number
770-536-0383
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
-
Taxonomy
207X00000X
License No.
054090 (Georgia)
Definition
An orthopedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
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