Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0102X | Surgical Critical Care | 35134576 | OH |
N | 2086S0102X | Surgical Critical Care | 37956 | SC |
N | 2086S0102X | Surgical Critical Care | ME114066 | FL |
NPI | 1124288725 |
---|---|
Provider Name | Dr. Aaron N Moore |
First Address | Atlanta, GA 30374-3904 |
Second Address | Columbia, SC 29203-6894 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2008 |
Last Update Date | 05/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
379556 | (05) | SC |