Individual
JOSEPH MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
45 ROSWELL ST STE A, ALPHARETTA, GA 30009-1903
(706) 474-5058
Mailing address
45 ROSWELL ST STE A, ALPHARETTA, GA 30009-1903
(706) 474-5058
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
GA
Other
Enumeration date
02/15/2021
Last updated
07/06/2022
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