Individual
KABRIEL MOOREHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1390 NORTHSIDE DR NW APT 2421, ATLANTA, GA 30318-1837
(904) 318-7009
Mailing address
1390 NORTHSIDE DR NW APT 2421, ATLANTA, GA 30318-1837
(904) 318-7009
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10832
GA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/27/2020
Last updated
03/01/2022
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