Individual
JOEL MOORHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH, PHD
Contact information
Practice address
1521 EIDSON HALL DRIVE, DUNWOODY, GA 30338
(404) 274-1335
Mailing address
1521 EIDSON HALL DRIVE, DUNWOODY, GA 30338-5685
(404) 274-1335
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
51692
GA
2083C0008X
Clinical Informatics Physician
51692
GA
208D00000X
General Practice Physician
51692
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A47917
UPIN
—
Enumeration date
09/05/2017
Last updated
09/05/2017
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