Individual
BRIAN THOMAS MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1640 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501
(770) 536-9300
(770) 536-9389
Mailing address
2400 WISTERIA DR, SNELLVILLE, GA 30078-2689
(770) 982-0102
(770) 982-0130
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT8758
GA
Other
Enumeration date
04/12/2007
Last updated
01/05/2024
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