Individual
XAVIER C MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
147 N PARK TRL, STOCKBRIDGE, GA 30281-7373
(678) 382-8091
Mailing address
2333 MURDOCK RD, MARIETTA, GA 30062-4572
(678) 382-8091
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
055619
GA
208M00000X
Hospitalist Physician
055619
GA
Other
Enumeration date
10/23/2006
Last updated
07/03/2023
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