Male or Other

Charles Moore M.D.

Otolaryngology Physician in Atlanta, GA(View on Map)

Full Name

Charles Moore M.D.

NPI Number

1588775712

NPI Type

Individual Provider

Gender

Male

Enumeration Date

08/31/2006

Specialties

(Taxonomies)

Code

207Y00000X

Primary Taxonomy

Yes

Licenses

State

Georgia

License Number

44789

Contact
Information

Purpose

Mailing
Location

Address

1365A CLIFTON RD NE
1365A CLIFTON RD NE

City

Atlanta
Atlanta

State

GA
GA

Postal Code

30322-1013
30322-1013

Country

US
US

Telephone Number

(404) 778-3381
(404) 778-3381

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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