MRS. MOYOSORE MARY ABERE


Address: 104 Bluff Chase, Bonaire, GA 31005-3867
Phone: 4787413007

MRS. MOYOSORE MARY ABERE (NPI# 1225667314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225667314
Entity Type Individual
Full Name MRS. MOYOSORE MARY ABERE
Credential NP
Practice Address 104 Bluff Chase
Bonaire
GA 31005-3867
Mailing Address 5801 Zebulon Rd Unit 439
Macon
GA 31210-2394
Practice Telephone 4787413007
Mailing Telephone 4045433609
Enumeration Date 2020-04-02
Last Update Date 2020-04-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 202016358 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA GEORGIA APRN NUMBER RN281354 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
5300 Bowman Road, Macon, GA 31210 4787413007

Office Location

Street Address 104 BLUFF CHASE
City BONAIRE
State GA
Zip Code 31005-3867

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669010211 Christine Anne Hasbrouck Nurse Practitioner 257 Southfiled Court, Bonaire, GA 31005 2019-12-13
1518478023 Cathleen Ann Cleary Psychiatry & Neurology 106 Julee Emilyn Drive, Bonaire, GA 31005 2017-10-24
1780107060 Laura Lenhard Frawley Nurse Practitioner 220 Cardiff Court, Bonaire, GA 31005 2017-07-19
1891156758 Southern Bridge Counseling, LLC Community/Behavioral Health 3100 Moody Rd, Ste. A, Bonaire, GA 31005 2016-03-18
1104203926 Georgia Chiropractic and Wellness LLC Chiropractor 100 Stillwater Circle, Suite C, Bonaire, GA 31005 2015-04-30
1891197067 Ashlee Zackeru Chafin Nurse Anesthetist, Certified Registered 706 Summer Ct, Bonaire, GA 31005 2014-09-19
1699199018 Michelle Marie Allen Nurse Practitioner 774 Ga Hwy 96, Bonaire, GA 31005 2014-02-05
1437597168 Lana Alden Dellinger Physical Therapist 101 Stillwater Circle, Bonaire, GA 31005 2013-06-04
1215154810 Joseph F Mcdaniel Pharmacist 785 Hwy 96, Bonaire, GA 31005 2007-04-18
1932229242 Marla Winge Baltz Pharmacist 785 Hwy. 96, Bonaire, GA 31005 2007-03-30
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1063025690 Sas Medical LLC Pediatrics 8601 Dunwoody Pl Ste 565, Sandy Springs, GA 30350-2519 2020-08-24
1467063248 Kindercare Pediatrics of Georgia Pediatrics 174 Royal Oak Dr, Guyton, GA 31312-5624 2020-08-13
1649880667 Grayson Pediatrics Mobile Pediatrics 297 Cooper Rd Ste B, Loganville, GA 30052-2518 2020-08-04
1134745953 Molly C Shields Pediatrics Dugas Building Bg 107 1120 15th Street, Augusta, GA 30912-0001 2020-06-17
1033734918 Lauren Wooten Smith Pediatrics Chog Pediatric Residency Program 1120 15th Street, Augusta, GA 30912-0001 2020-06-16
1447886155 Natalie Brown Shumate Pediatrics 1669 Pleasant Valley Rd Ne, Monroe, GA 30655-6211 2020-03-14
1356988455 Maura Mchugh Barrett Pediatrics 1805 Parke Plaza Cir Ste 103, Stone Mountain, GA 30087-3646 2019-12-08
1629614060 Kaley Adams Pediatrics 227 Torrington Blvd, Thomasville, GA 31757-3904 2019-11-20
1164066791 Holly Savino Pediatrics 603 Old Norcross Rd Ste A, Lawrenceville, GA 30046-4315 2019-11-06
1588219810 Dayana Regis Pediatrics 808 York Ave Sw, Atlanta, GA 30310 2019-08-04
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Competitor

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City BONAIRE
Zip Code 31005

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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