| Fred T. Moeller And Associates | |
|
11805 Northfall Lane Suite 804 Alpharetta GA 30009 | |
| (770) 410-5788 | |
| (770) 410-4041 |
| Full Name | Fred T. Moeller And Associates |
|---|---|
| Speciality | Counselor - Professional |
| Location | 11805 Northfall Lane, Alpharetta, Georgia |
| Authorized Official Name and Position | Fred T Moeller (PRESIDENT) |
| Authorized Official Contact | 7704105788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fred T. Moeller And Associates 11805 Northfall Lane Suite 804 Alpharetta GA 30009 Ph: (770) 410-5788 | Fred T. Moeller And Associates 11805 Northfall Lane Suite 804 Alpharetta GA 30009 Ph: (770) 410-5788 |
| NPI Number | 1770758864 |
|---|---|
| Provider Enumeration Date | 04/29/2008 |
| Last Update Date | 09/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770758864 | NPI | - | NPPES |
| 324771962A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2084 (Georgia) | Primary |
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