Individual
DR. WILLIAM KEHNE MOELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 TREE LN, SUITE 140, SNELLVILLE, GA 30078-2016
(678) 344-4944
(678) 344-4947
Mailing address
1800 TREE LN, SUITE 140, SNELLVILLE, GA 30078-2016
(678) 344-4944
(678) 344-4947
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
026342
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020558087
TAX ID #
GA
01
—
GRP4367
MEDICARE GROUP
GA
Enumeration date
07/13/2006
Last updated
01/04/2012
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