Individual
DR. MELVIN R MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2712 LAWRENCEVILLE HWY, DECATUR, GA 30033-2512
(770) 496-5555
(770) 939-2887
Mailing address
1835 SAVOY DR, SUITE 300, ATLANTA, GA 30341-1072
(770) 496-9400
(770) 496-9495
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
016647
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00011327E
—
GA
Enumeration date
01/04/2006
Last updated
04/27/2009
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