Individual
ROSLYN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
185 OLD PEACHTREE RD NW, SUWANEE, GA 30024-2511
(678) 937-0300
(781) 464-2599
Mailing address
185 OLD PEACHTREE RD NW, SUWANEE, GA 30024-2511
(678) 937-0300
(781) 464-2599
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN-NP105131
GA
363LG0600X
Gerontology Nurse Practitioner
RN105131
GA
Other
Enumeration date
10/18/2022
Last updated
12/24/2025
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