Individual
WESLEY GENE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
550 PEACHTREE ST NE, 3304, ATLANTA, GA 30308-2208
(404) 686-7858
Mailing address
550 PEACHTREE STREET- DAVIS FISCHER BUILDING, 3304, ATLANTA, GA 30308
(404) 686-7858
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN211348
GA
363LA2100X
Acute Care Nurse Practitioner
RN211348
GA
Other
Enumeration date
10/04/2013
Last updated
05/16/2024
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