Individual
DR. MONICA YVETTE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
205 HAWKINS STORE RD NW, KENNESAW, GA 30144-6215
(770) 928-0862
(770) 928-2286
Mailing address
205 HAWKINS STORE RD NW, KENNESAW, GA 30144-6215
(770) 928-0862
(770) 928-2286
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
057897
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162413871A
—
GA
Enumeration date
11/30/2006
Last updated
08/13/2014
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