Search › Georgia › 374U00000X
Charles Moore
NPI 1538576822 · on the registry since 2014 · sole proprietor
Practice
- Address
- 3044 Ashly Forest Dr
Snellville, GA 30078 - Phone
- (770) 875-0556
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-07-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia