Individual
ANDREW M MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA-C
Contact information
Practice address
5665 PEACHTREE DUNWOODY RD NE, ATLANTA, GA 30342-1764
(678) 843-7324
(404) 843-2627
Mailing address
5671 PEACHTREE DUNWOODY RD NE, SUITE 530, ATLANTA, GA 30342-5000
(404) 257-1415
(404) 851-1649
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
006580
GA
Other
Enumeration date
09/27/2012
Last updated
09/27/2012
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