George Gibson Moore Jr. (NPI# 1457464554, PAC ID# 0143206318) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1457464554 |
| PAC ID by PECOS | 0143206318 |
| Professional Enrollment ID | I20040628001074 |
| Full Name | George Gibson Moore Jr. |
| Organization Legal Name | CARESOUTH CAROLINA INC. |
| Address |
999 Cheraw St Bennettsville SC 29512-2420 |
| Phone Number | 8434792341 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 1969 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1052221314 |
| Number of Group Practice Members | 50 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340008 | SCOTLAND MEMORIAL HOSPITAL |
| 420051 | MCLEOD REGIONAL MEDICAL CENTER-PEE DEE |
| Address | Phone | Organization |
|---|---|---|
| 999 Cheraw St, Bennettsville, SC 29512-2420 | 8434792341 | CARESOUTH CAROLINA INC. |
| Organization Legal Name | CARESOUTH CAROLINA INC. |
| Physicians | 49 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Temeka Justine Ruth Green | Clinical Social Worker | Caresouth Carolina Inc. | 999 Cheraw St, Bennettsville, SC 29512-2420 |
| Katelon Marie Smith | Nurse Practitioner | Caresouth Carolina Inc. | 3080 Hwy 15-401 E, Mc Coll, SC 29570-6128 |
| Danielle G Johnson | Nurse Practitioner | Caresouth Carolina Inc. | 715 S Doctors Dr, Suites A B and D/e, Cheraw, SC 29520-7113 |
| Kristopher Olen Lane | Nurse Practitioner | Caresouth Carolina Inc. | 122 Latimer St, Latta, SC 29565-1828 |
| Elizabeth Anne Sorg | Nurse Practitioner | Caresouth Carolina Inc. | 1268 S 4th St, Hartsville, SC 29550-0703 |
| Anna M Duncan | Family Medicine | Caresouth Carolina Inc. | 545 Sumter Hwy, Bishopville, SC 29010-7601 |
| Jack W Rhyne | Clinical Social Worker | Caresouth Carolina Inc. | 500 W Blvd, Chesterfield, SC 29709-1402 |
| Leon E Hunt | General Practice | Caresouth Carolina Inc. | 106 Hospital Sq, Bishopville, SC 29010-7081 |
| Cindy G Crittendon | Obstetrics/gynecology | Caresouth Carolina Inc. | 1076 Marlboro Way, Suite 1, Bennettsville, SC 29512-2495 |
| Elizabeth D Kershner | Clinical Social Worker | Caresouth Carolina Inc. | 737 S Main St, Society Hill, SC 29593-8972 |
| Street Address |
999 CHERAW ST |
| City | BENNETTSVILLE |
| State | SC |
| Zip | 29512-2420 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Temeka Justine Ruth Green | Clinical Social Worker | Caresouth Carolina Inc. | 999 Cheraw St, Bennettsville, SC 29512-2420 |
| Ellen Margaret Mishra | Nurse Practitioner | Caresouth Carolina Inc. | 999 Cheraw St, Bennettsville, SC 29512-2420 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan Nestor | Nephrology | 1104 Frank W Evans Way, Fresinius Med Care, Bennettsville, SC 29512-2169 | |
| Chi Dai Chen | General Surgery | Scotland Memorial Hospital, Inc | 957 Cheraw St, Bennettsville, SC 29512-2420 |
| Matthew Brian Thompson | Nurse Practitioner | Scotland Memorial Hospital Inc | 957 Cheraw St, Bennettsville, SC 29512-2420 |
| Ashleigh Johnson Freeman | Family Practice | Scotland Memorial Hospital Inc | 957 Cheraw St, Bennettsville, SC 29512-2420 |
| Gyetri S Mitchell | Nurse Practitioner | Scotland Memorial Hospital, Inc | 1007 Cheraw St, Bennettsville, SC 29512-2422 |
| Judie M Sto Domingo | Physical Therapy | 1021 Cheraw St, Bennettsville, SC 29512-2422 | |
| Simi Sachdev | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 1035 Cheraw Hwy, Bennettsville, SC 29512-2422 |
| Donna Gail Cain | Nurse Practitioner | Scotland Memorial Hospital, Inc | 1007 Cheraw St, Bennettsville, SC 29512-2422 |
| David Alexander Howell | Family Medicine | Scotland Memorial Hospital, Inc | 1007 Cheraw St, Bennettsville, SC 29512-2422 |
| Rufus Haynes Cain Iii | Family Medicine | Scotland Memorial Hospital, Inc | 1007 Cheraw St, Bennettsville, SC 29512-2422 |
| Find all physicians in zip 29512 | |||
| City | BENNETTSVILLE |
| Zip Code | 29512 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BENNETTSVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on George Gibson Moore Jr..
| 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.