Individual
DAVID K. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2825 KEITH BRIDGE RD, SUITE 100, CUMMING, GA 30041-3936
(770) 844-7494
(770) 844-7445
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
(770) 219-8440
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
027875
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00307271D
—
GA
Enumeration date
08/23/2005
Last updated
12/18/2015
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