Individual
BRADLEY MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3950 AUSTELL RD, AUSTELL, GA 30106-1121
(470) 732-4000
Mailing address
416 BATTLEFIELD CREEK DR, MARIETTA, GA 30064-5474
(678) 378-8981
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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