Individual
PAUL H MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
300 E HOSPITAL RD, FORT GORDON, GA 30905-5741
(706) 787-5373
Mailing address
300 E HOSPITAL RD, FORT GORDON, GA 30905-5741
(706) 787-5373
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2853
SC
Other
Enumeration date
02/18/2013
Last updated
04/11/2023
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