NPI Code Details Logo

NPI 1699096388

NPI 1699096388 : HARRY FRANCIS MOORE JR. M.D. : MACON, GA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1699096388
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    HARRY FRANCIS MOORE JR. M.D.
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/16/2010
-----------------------------------------------------
    Last Update Date     |    09/02/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    800 FIRST STREET, SUITE 410 CENTRAL GEORGIA CANCER CENTER, PC,
-----------------------------------------------------
    City                 |    MACON
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    31201-8300
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    478-743-7068
-----------------------------------------------------
    Fax                  |    478-741-1354
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    800 FIRST STREET, SUITE 410 
-----------------------------------------------------
    City                 |    MACON
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    31201-8300
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    478-743-7068
-----------------------------------------------------
    Fax                  |    478-741-1354
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    174400000X
-----------------------------------------------------
    Taxonomy Name        |    Specialist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    GA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207R00000X
-----------------------------------------------------
    Taxonomy Name        |    Internal Medicine Physician
-----------------------------------------------------
    License Number       |    4288
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    207RX0202X
-----------------------------------------------------
    Taxonomy Name        |    Medical Oncology Physician
-----------------------------------------------------
    License Number       |    69071
-----------------------------------------------------
    License Number State |    GA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.