SearchGeorgiaStudent in an Organized Health Care Education/Training Program

Elliott Moore

NPI 1912851007 · on the registry since 2026 · sole proprietor

Practice

Address
1120 15th St # Gc5114
Augusta, GA 30912
Phone
(706) 721-2411
Clinicians at this address
18

Registry record

Primary taxonomy
Student in an Organized Health Care Education/Training Program
390200000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-10

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