Dr SHAWN WILLIAM MOORE is a male medical professional, specializing in Nurse Practitioner. He graduated in 2012.
THE LONGSTREET CLINIC, PC
725 JESSE JEWELL PKWY
SUITE 150
GAINESVILEL
GA
305013834
Tel: 7702975700
| Npi | 1619222528 |
| Pac Id | 5698921443 |
| Professional Enrollment Id | I20120809000483 |
| Last Name | MOORE |
| First Name | SHAWN |
| Middle Name | WILLIAM |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
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| Organization Legal Name | THE LONGSTREET CLINIC, PC |
| Group Practice Pac Id | 2668465733 |
| Number Of Group Practice Members | 121 |
| Line 1 Street Address | 725 JESSE JEWELL PKWY |
| Line 2 Street Address | SUITE 150 |
| Marker Of Address Line 2 Suppression | |
| City | GAINESVILEL |
| State | GA |
| Zip Code | 305013834 |
| Phone Number | 7702975700 |
| Hospital Affiliation Ccn 1 | 110029 |
| Hospital Affiliation Lbn 1 | NORTHEAST GEORGIA MEDICAL CENTER, INC |
| Hospital Affiliation Ccn 2 | 110041 |
| Hospital Affiliation Lbn 2 | HABERSHAM COUNTY MEDICAL CTR |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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