Austin Moore, ATC

NPI #1073077756 in Suwanee, Georgia

Provider Information

NPI Number: 1073077756
Entity Type: Individual
Name: Austin Moore, ATC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: ATC
Enumeration Date: Jan 26, 2019
Last Updated: Jun 23, 2021

Practice Location

Address: 805 NICHOLS RD
City: Suwanee
State: Georgia
ZIP Code: 30024-1603
Phone: (505) 486-1913

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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