NPI 1013767193

Matthew Benjamin Moore, MD

Practitioner Pediatrics Physician Macon, GA

Practice location

Address: 777 Hemlock Street Ln # 165, Macon, GA 31201-2168
Phone: (478) 633-1634
Fax: (478) 633-1578

Registered specialties (2)

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 16001 (GA)

Other Pediatrics providers in Georgia →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Georgia →

Registry record

NPI: 1013767193
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Mar 2024
Record last updated: 14 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.