Individual
DR. AUBREY LEE MOORE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3643 WALTON WAY EXT, AUGUSTA, GA 30909-4507
(706) 729-9595
(706) 729-0332
Mailing address
320 GARDENIA DR, EVANS, GA 30809-8239
(706) 284-1054
(706) 729-0332
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY002012
GA
Other
Enumeration date
08/29/2005
Last updated
08/25/2016
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