Individual
ALEXANDRIA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11101 WALDEN CROSSING DR, CANTON, GA 30115-9548
(910) 554-8701
Mailing address
11101 WALDEN CROSSING DR, CANTON, GA 30115-9548
(910) 554-8701
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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