Moore, Bradley Bancroft

Moore, Bradley Bancroft is an individual health care provider with primary practice located at 9 Dunwoody Park Suite 108, Atlanta GA 30338-7407. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Moore, Bradley Bancroft can be contacted via phone (770) 393-1988.

Contact Information

Primary practice address
9 Dunwoody Park Suite 108 Atlanta GA 30338-7407
Phone: (770) 393-1988
Fax: (770) 399-9638
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 051691 Georgia

Profile Details

NPI number 1699744847
LBN Legal business name Moore, Bradley Bancroft
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699744847 NPPES
Georgia Other 051691 STATE MEDICAL LICENSE

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