Individual
DR. KATIE BOZEMAN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4290 BELLS FERRY RD NW, KENNESAW, GA 30144-7140
(770) 516-0686
(770) 516-6035
Mailing address
4290 BELLS FERRY RD NW, KENNESAW, GA 30144-7140
(770) 516-0686
(770) 516-6035
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
024769
GA
Other
Enumeration date
01/17/2013
Last updated
10/15/2016
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