Individual
DR. WALKER B. MOORE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D. D. S.
Contact information
Practice address
4687 ROCKBRIDGE RD, SUITE #7, STONE MOUNTAIN, GA 30083-4258
(404) 296-9070
(404) 296-3456
Mailing address
1046 RIDGE AVE SW, SUITE #7, ATLANTA, GA 30315-1640
(404) 688-1350
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
GA 7613
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GA 7613
—
GA
Enumeration date
12/15/2006
Last updated
05/17/2026
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