Individual
DR. DAVID LAVON MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4101 CASCADE CIRCLE, SOPERTON, GA 30457
(478) 984-1420
(678) 840-0026
Mailing address
1471 COLEMAN REGISTER ROAD, RENTZ, GA 31075-0321
(478) 984-1420
(678) 840-0026
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
023639
GA
Other
Enumeration date
05/25/2007
Last updated
07/08/2009
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