| The Moore Experience | |
|
4500 Hugh Howell Rd Ste 620d Tucker GA 30084-4720 | |
| (678) 522-2472 | |
| (470) 777-2790 |
| Full Name | The Moore Experience |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4500 Hugh Howell Rd Ste 620d, Tucker, Georgia |
| Authorized Official Name and Position | Juanese M Moore (CEO) |
| Authorized Official Contact | 7706097288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Moore Experience 375 Rockbridge Rd Nw Ste 172-350 Lilburn GA 30047-8225 Ph: (678) 522-2472 | The Moore Experience 4500 Hugh Howell Rd Ste 620d Tucker GA 30084-4720 Ph: (678) 522-2472 |
| NPI Number | 1649755281 |
|---|---|
| Provider Enumeration Date | 09/29/2018 |
| Last Update Date | 03/25/2021 |
| Certification Date | 03/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649755281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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