Individual
DAVID MOISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3699 CASCADE RD SW STE B2, ATLANTA, GA 30331-2163
(404) 691-7006
Mailing address
PO BOX 1471, MABLETON, GA 30126-1007
(516) 699-2769
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
87011
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2018
Last updated
07/28/2021
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