Individual
ALISA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1001 JOHNSON FY RD NE, ATLANTA, GA 30342-1605
(404) 785-7112
(404) 785-3600
Mailing address
1001 JOHNSON FY RD NE, ATLANTA, GA 30342-1605
(404) 785-7112
(404) 785-3600
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN210332
GA
Other
Enumeration date
10/20/2016
Last updated
06/06/2022
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