Individual
MARK D. MOERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
95 MORRISON MOORE PKWY W, DAHLONEGA, GA 30533-1588
(706) 864-3323
(706) 864-4484
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
045555
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00793988B
—
GA
Enumeration date
08/23/2005
Last updated
10/27/2020
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