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Individual

DR. KATHRYN MARIE MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, APRN-BC

Contact information

Practice address
2349 CRESTCLIFF DR, TUCKER, GA 30084-4206
(404) 558-1129
Mailing address
2349 CRESTCLIFF DR, TUCKER, GA 30084-4206
(404) 558-1129

Taxonomy

Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
RN171792
GA

Other

Enumeration date
02/23/2009
Last updated
11/19/2018
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