Individual provider · Type 1 NPI

Austin Moore, ATC

Student in an Organized Health Care Education/Training Program · Suwanee, GA

NPI number 1073077756 Active

Practice location

805 Nichols Rd
Suwanee, GA 30024-1603

Call (505) 486-1913 Map

Mailing address

5010 W Broad St
Sugar Hill, GA 30518-5200

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1073077756

Austin Moore, ATC's National Provider Identifier is 1073077756, issued on Jan 26, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Suwanee, GA. The record was last updated on Jun 23, 2021.