Individual
TRENTON K MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MMSC, PA-C, MS, ATC
Contact information
Practice address
2306 WISTERIA DR STE 240, SNELLVILLE, GA 30078-3563
(678) 344-4944
Mailing address
2306 WISTERIA DR STE 240, SNELLVILLE, GA 30078-3563
(678) 344-4944
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AL 3533
FL
363A00000X
Physician Assistant
Primary
10266
GA
Other
Enumeration date
07/16/2014
Last updated
03/05/2026
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