Individual
DR. ROBERT DANIEL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
11975 MORRIS ROAD, SUITE 140, ALPHARETTA, GA 30005-4493
(770) 475-4499
(877) 509-0690
Mailing address
11975 MORRIS ROAD, SUITE 140, ALPHARETTA, GA 30005-4493
(770) 475-4499
(877) 509-0690
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
045300
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00799015A
—
GA
Enumeration date
02/25/2007
Last updated
10/24/2017
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