Individual
DR. BRIAN LEE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
400 GALLERIA PKWY SE, SUITE 1500, ATLANTA, GA 30339-5980
(770) 590-4441
Mailing address
PO BOX 3152, MARIETTA, GA 30061-3152
(770) 590-4441
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY001097
GA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
PSY001097
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
68BBCSG
—
GA
Enumeration date
04/11/2007
Last updated
09/11/2025
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