Individual
ASHBY MALLOY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3200 DOWNWOOD CIR NW STE 700, ATLANTA, GA 30327-5308
(404) 355-0743
(855) 590-3792
Mailing address
3200 DOWNWOOD CIR NW STE 700, ATLANTA, GA 30327-5308
(404) 355-0743
(855) 590-3792
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11207
GA
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
06/18/2026
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