Dr JONATHAN S MOORE is a male medical professional, specializing in Family Medicine. He graduated in 2014 from University Of Mississippi School Of Medicine.
SOUTHEASTERN PHYSICIAN SERVICES PC
310 S LIMESTONE
LEXINGTON
KY
405083008
Tel: 8592267000
| Npi | 1780095729 |
| Pac Id | 6709190366 |
| Professional Enrollment Id | I20151012000355 |
| Last Name | MOORE |
| First Name | JONATHAN |
| Middle Name | S |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | SOUTHEASTERN PHYSICIAN SERVICES PC |
| Group Practice Pac Id | 0042307852 |
| Number Of Group Practice Members | 258 |
| Line 1 Street Address | 310 S LIMESTONE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | LEXINGTON |
| State | KY |
| Zip Code | 405083008 |
| Phone Number | 8592267000 |
| Hospital Affiliation Ccn 1 | 180104 |
| Hospital Affiliation Lbn 1 | BAPTIST HEALTH PADUCAH |
| Hospital Affiliation Ccn 2 | 141323 |
| Hospital Affiliation Lbn 2 | MASSAC MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 3 | 180027 |
| Hospital Affiliation Lbn 3 | MURRAY-CALLOWAY COUNTY HOSPITAL |
| Hospital Affiliation Ccn 4 | 180102 |
| Hospital Affiliation Lbn 4 | LOURDES HOSPITAL |
| Hospital Affiliation Ccn 5 | 181322 |
| Hospital Affiliation Lbn 5 | CALDWELL MEDICAL CENTER |
| Professional Accepts Medicare Assignment | Y |
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