Moore, Robert Daniel

Moore, Robert Daniel is an individual health care provider with primary practice located at 11975 Morris Road Suite 140, Alpharetta GA 30005-4493. He recently has only one registered license in Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery, which is considered as his primary health care specialty. Moore, Robert Daniel can be contacted via phone (770) 475-4499.

Contact Information

Primary practice address
11975 Morris Road Suite 140 Alpharetta GA 30005-4493
Phone: (770) 475-4499
Fax: (877) 509-0690
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X 045300 Georgia

Profile Details

NPI number 1518093673
LBN Legal business name Moore, Robert Daniel
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2007
Last updated Oct 24th, 2017 - about 9 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 1518093673 NPPES
Georgia MEDICAID 00799015A

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