George R. Moore M.D.
Specialist in Fayetteville, GA(View on Map)
Full Name
George Richard Moore M.D.
NPI Number
1235153586
NPI Type
Individual Provider
Gender
Male
Enumeration Date
07/27/2006
Specialties
(Taxonomies)Licenses
State
Georgia
License Number
012525
Contact
Information
Purpose
Mailing
Location
Address
1265 HWY 54 W
1265 HWY 54 W
City
Fayetteville
Fayetteville
State
GA
GA
Postal Code
30214
30214
Country
US
US
Telephone Number
(770) 997-5714
(770) 997-5714
Identifiers
Identifier
00393225A
Identifier State
GA
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 12/24/2007
Provider Address
Other Specialists in Fayetteville, Georgia:
Mary Hill HAIR LOSS SPECIALIS
Fayetteville, GASpecialties: Specialist (Primary)Prosthetics Case Management