person
George Richard Moore, MD
Specialist in Fayetteville, Georgia
NPI 1235153586

George Richard Moore is a Specialist based in Fayetteville, GA. George Richard Moore practices in Fayetteville, GA and has the professional credentials of MD. The NPI Number for George Richard Moore is 1235153586 and holds a License No. 012525 (Georgia).

The current practice location address for George Richard Moore is 1265 Hwy 54 W, Fayetteville, GA and can be reached out via phone at 770-997-5714 and via fax at 770-997-2810.

Location: 1265 Hwy 54 W, Fayetteville, GA, 30214
person
Provider Profile Details
NPI Number
1235153586
Provider Name
George Richard Moore
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1265 Hwy 54 W, Fayetteville, GA, 30214
Phone Number
770-997-5714
Fax Number
770-997-2810
Provider Enumeration Date
07/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00393225A 05 GA
institution
Provider Business Practice Location Address Details
Address
1265 Hwy 54 W
City
State
Zip
30214
Phone Number
770-997-5714
Fax Number
770-997-2810
person
Provider Business Mailing Address Details
Address
1265 Hwy 54 W
City
State
Zip
30214
Phone Number
770-997-5714
Fax Number
770-997-2810
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
012525 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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