Individual
DR. JOHN GAMMON MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11975 MORRIS RD, SUITE 300, ALPHARETTA, GA 30005-4419
(770) 521-2295
(770) 255-0333
Mailing address
5780 PEACHTREE DUNWOODY ROAD, SUITE 300, ATLANTA, GA 30342-1513
(404) 303-1224
(404) 303-1325
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
024303
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00030677D
—
GA
05
—
00030677E
—
GA
05
—
00030677G
—
GA
Enumeration date
10/04/2005
Last updated
05/17/2016
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