Individual
DR. EFRIM CASSIUS MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1320 OAKSIDE DR, SUITE 203, CANTON, GA 30114-2475
(770) 479-2322
(770) 720-7695
Mailing address
1320 OAKSIDE DR, SUITE 203, CANTON, GA 30114-2475
(770) 479-2322
(770) 720-7695
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
033780
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000451019F
—
GA
Enumeration date
08/15/2005
Last updated
07/26/2022
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