Deborah D. Moore, PAC

Physician Assistant · Macon, GA

Individual Active NPI

NPI number 1609869197

Practice location

1157 Forsyth St
Macon, GA 31201-7452
Phone
(478) 745-8581
Fax
(478) 328-0438

Open in Google Maps

NPI record

NPI
1609869197
Entity type
Individual (Type 1)
Enumeration date
August 30, 2005
Last updated
April 13, 2020
Certified
April 13, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 002158 GA
Medical Physician Assistant 363AM0700X 002158 GA
Surgical Physician Assistant 363AS0400X 002158 GA

Mailing address

2400 Bellevue Rd
Ste 21a
Dublin, GA 31021-2890
Phone
(478) 328-0281
Fax
(478) 328-0438

About Deborah Moore

Deborah D. Moore, PAC is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1157 Forsyth St, Macon, GA 31201-7452. The NPI number 1609869197 was assigned on August 30, 2005 and the record was last updated on April 13, 2020.

Deborah Moore lists 3 licenses in the registry: #002158 (GA) for Physician Assistant; #002158 (GA) for Medical Physician Assistant; #002158 (GA) for Surgical Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Deborah D. Moore, PAC?

The NPI number is 1609869197.

What is the phone number of Deborah Moore?

The phone number listed for the practice location is (478) 745-8581.

Where is Deborah Moore located?

1157 Forsyth St, Macon, GA 31201-7452.

What is the taxonomy code for Deborah Moore?

The primary taxonomy code is 363A00000X – Physician Assistant; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Physician Assistant providers in Macon

All Physician Assistant providers in Macon, GA →