Sean Indiano Moore, M.D.
Preventive Medicine, Occupational Medicine in Robins Afb, GA. Individual provider (NPI-1).
NPI number1154560902
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1154560902
- Entity type
- Individual (NPI-1)
- Name
- Sean Indiano Moore
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 18, 2009
- Last updated
- Jul 21, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2083X0100X | Preventive Medicine, Occupational Medicine | MD-9798 | HI | Yes |
| 2083P0901X | Preventive Medicine, Public Health & General Preventive Medicine | MD-9798 | HI |
Practice location
655 7th St Bldg 700-A78Robins Afb, GA 31098-2227
Phone 478-327-7605
Mailing address
655 South 7th Street, Bldg 700/700-A78 Mdg/Sgpo
Robins Afb, GA 31098
Phone 478-327-7605
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