person
Austin Moore, ATC
Student in an Organized Health Care Education/Training Program in Suwanee, Georgia
NPI 1073077756

Austin Moore is a Student in an Organized Health Care Education/Training Program based in Sugar Hill, GA. Austin Moore practices in Suwanee, GA and has the professional credentials of ATC. The NPI Number for Austin Moore is 1073077756 and holds a License No. (Georgia).

The current practice location address for Austin Moore is 805 Nichols Rd, Suwanee, GA and can be reached out via phone at 505-486-1913. You can also correspond with Austin Moore through the mailing address at 5010 W BROAD ST, SUGAR HILL, GA - 30518-5200 (mailing address contact number: 505-486-1913).

Location: 805 Nichols Rd, Suwanee, GA, 30518-5200
person
Provider Profile Details
NPI Number
1073077756
Provider Name
Austin Moore
Credential
ATC
Provider Entity Type
Individual
Gender
Male
Address
805 Nichols Rd, Suwanee, GA, 30518-5200
Phone Number
505-486-1913
Fax Number
Provider Enumeration Date
01/26/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
805 Nichols Rd
City
State
Zip
30024-1603
Phone Number
505-486-1913
Fax Number
person
Provider Business Mailing Address Details
Address
805 Nichols Rd
City
State
Zip
30024-1603
Phone Number
505-486-1913
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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