Individual
MS. MICHELLE MARIE MOORFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MMSC, RD, PA-C
Contact information
Practice address
1670 CLAIRMONT RD, ROOM11C-136, DECATUR, GA 30033-4004
(404) 321-6111
(404) 728-7782
Mailing address
205 GARLAND AVE, DECATUR, GA 30030-4940
(404) 354-0132
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003802
GA
Other
Enumeration date
06/15/2006
Last updated
04/02/2009
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