Individual
DR. ALEXANDER WYCKOFF MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC, IVCA CERT
Contact information
Practice address
3845 MEADOW GREEN CT, PEACHTREE CORNERS, GA 30092-5209
(443) 370-4845
Mailing address
3845 MEADOW GREEN CT, PEACHTREE CORNERS, GA 30092-5209
(443) 370-4845
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR010146
GA
Other
Enumeration date
01/04/2019
Last updated
01/04/2019
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