SearchGeorgia225100000X

Ricquavious Moore, DPT

NPI 1629736665 · on the registry since 2021

Practice

Address
1459 Montreal Rd Ste 304
Tucker, GA 30084
Phone
(706) 832-8400
Organisation at this address
Stephen H. Knight M.D.
Northlake Endoscopy Center
Mike Berry'S Opticians Inc.
Emory Physical Therapy, Llc
Northlake Multispecialty Associates Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
14

Additional practice sites

  • 1110 13th St, Columbus, GA

Registry record

Primary taxonomy
225100000X
225100000X
Also registered as
106S00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-12-12

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