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Dr. Daniel W Moore, MD
Specialist in Marietta, Georgia
NPI 1710047832

Daniel W Moore is a Specialist based in Marietta, GA. Daniel W Moore practices in Marietta, GA and has the professional credentials of MD. The NPI Number for Daniel W Moore is 1710047832 and holds a License No. 038562 (Georgia).

The current practice location address for Daniel W Moore is 3901 Roswell Rd Ste 225, Marietta, GA and can be reached out via phone at 770-424-2025 and via fax at 770-425-1789.

Location: 3901 Roswell Rd Ste 225, Marietta, GA, 30062-8816
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710047832
Provider Name
Daniel W Moore
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3901 Roswell Rd Ste 225, Marietta, GA, 30062-8816
Phone Number
770-424-2025
Fax Number
770-425-1789
Provider Enumeration Date
12/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00608539B 05 GA
institution
Provider Business Practice Location Address Details
Address
3901 Roswell Rd Ste 225
City
Marietta
State
Georgia
Zip
30062-8816
Phone Number
770-424-2025
Fax Number
770-425-1789
person
Provider Business Mailing Address Details
Address
3901 Roswell Rd Ste 225
City
Marietta
State
Georgia
Zip
30062-8816
Phone Number
770-424-2025
Fax Number
770-425-1789
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
038562 (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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