Individual
MATTHEW R MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
120 MIMOSA DR, DECATUR, GA 30030-3731
(404) 370-0339
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
G84306
CA
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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