Bridgett Moore (NPI# 1679764757, PAC ID# 5799857470) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1679764757 |
| PAC ID by PECOS | 5799857470 |
| Professional Enrollment ID | I20080714000033 |
| Full Name | Bridgett Moore |
| Address |
2810 N Oak St Valdosta GA 31602-1716 |
| Gender | F |
| Medical School | EMORY UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110122 | SOUTH GEORGIA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2810 N Oak St, Valdosta, GA 31602-1716 |
| Street Address |
2810 N OAK ST |
| City | VALDOSTA |
| State | GA |
| Zip | 31602-1716 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin Haskin | Nurse Practitioner | Js Medical Diagnostics, LLC | 3790 Old Us Hwy 41 N, Suite B, Valdosta, GA 31602 |
| Sheri L Swader | Neurology | Js Medical Diagnostics, LLC | 3790 Old Us Hwy 41 N, Suite B, Valdosta, GA 31602 |
| Judit T Sule | Internal Medicine | Js Medical Diagnostics, LLC | 3790 Old Us Hwy 41 N, Suite B, Valdosta, GA 31602 |
| Revajo S Broadwater | Physical Therapy | 3537 N Crossing Circle, Valdosta, GA 31602-1019 | |
| Barbara F Frier | Clinical Social Worker | Valdosta Psychiatric Associates, LLC | 3541 N Crossing Circle, Valdosta, GA 31602-1019 |
| Mary Fulp-pye | Clinical Social Worker | Valdosta Psychiatric Associates, LLC | 3541 N Crossing Circle, Valdosta, GA 31602-1019 |
| Jennifer Kenyon | Clinical Social Worker | Valdosta Psychiatric Associates, LLC | 3541 N Crossing Circle, Valdosta, GA 31602-1019 |
| Joel Leland Morgan | Psychiatry | Valdosta Psychiatric Associates, LLC | 3541 N Crossing Circle, Valdosta, GA 31602-1019 |
| Janice L Breidenstein | Clinical Social Worker | Valdosta Psychiatric Associates, LLC | 3541 N Crossing Circle, Valdosta, GA 31602-1019 |
| Eric Christian Stiefel | Orthopedic Surgery | Valdosta Orthopedic Associates PC | 3527 N Valdosta Rd, Valdosta, GA 31602-1055 |
| Find all physicians in zip 31602 | |||
| City | VALDOSTA |
| Zip Code | 31602 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | VALDOSTA + PLASTIC AND RECONSTRUCTIVE SURGERY |
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| 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.