Earnest Darren Moore
ANESTHESIA SOLUTIONS OF GEORGIA LLC


Address: 165 N Park Trail, Suite 100, Stockbridge, GA 30281
Phone: 7705061800

Earnest Darren Moore (NPI# 1568438547, PAC ID# 4385601871) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).

Physician Overview

Nation Provider ID (NPI) 1568438547
PAC ID by PECOS 4385601871
Professional Enrollment ID I20080514000742
Full Name Earnest Darren Moore
Organization Legal Name ANESTHESIA SOLUTIONS OF GEORGIA LLC
Address 165 N Park Trail
Suite 100
Stockbridge
GA 30281
Phone Number 7705061800
Gender M
Credential CNA
Medical School UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE
Graduation Year 2004
Primary Specialty CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Group Practice PAC ID 5991998965
Number of Group Practice Members 4
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
165 N Park Trail, Suite 100, Stockbridge, GA 30281 7705061800 ANESTHESIA SOLUTIONS OF GEORGIA LLC

Organization Information

Organization Legal Name ANESTHESIA SOLUTIONS OF GEORGIA LLC
Physicians 1

Office Location

Street Address 165 N PARK TRAIL
SUITE 100
City STOCKBRIDGE
State GA
Zip 30281

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Competitor

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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