Individual provider · Type 1 NPI

Bryan Russell Moore, PAA

Physician Assistant · Marietta, GA

NPI number 1356388433 Active

Practice location

2540 Windy Hill Rd SE
Marietta, GA 30067-8605

Call (470) 644-1274 Map

Fax (470) 644-1119

Other practice locations

  • 501 Redmond Rd NW, Anesthesiology Department, Rome, GA 30165-1415 · (706) 291-0291

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X003912 (GA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1356388433

Bryan Russell Moore, PAA's National Provider Identifier is 1356388433, issued on May 31, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Marietta, GA. The record was last updated on Oct 10, 2023.