NPI 1003426461
Nathaniel J Moore
Practice location
- Address
- 382 Racetrack Rd, McDonough, GA 30252-1022
- Phone
- (678) 691-2206
- Mailing address
- 2472 Jett Ferry Rd STE 400-197, Atlanta, GA 30338-3059
Registered specialties
Behavior Technician
Primary
Registry record
- NPI
- 1003426461
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 31 Jul 2020
- Record last updated
- 27 Nov 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.