Search › Georgia › 101YP2500X
Kellie Moore, LPC
NPI 1932487303 · on the registry since 2011 · sole proprietor
Practice
- Address
- 3670 Highlands Pkwy Se
Building 6
Smyrna, GA 30082 - Phone
- (404) 856-7600
- Fax
- (404) 856-7601
- Organisation at this address
- Mtm Anesthesia, Llc
Atlanta Interventional Institute LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-08-02
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