Moore, John Gammon

Moore, John Gammon is an individual health care provider with primary practice located at 11975 Morris Rd Suite 300, Alpharetta GA 30005-4419. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Moore, John Gammon can be contacted via phone (770) 521-2295.

Contact Information

Primary practice address
11975 Morris Rd Suite 300 Alpharetta GA 30005-4419
Phone: (770) 521-2295
Fax: (770) 255-0333
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 024303 Georgia

Profile Details

NPI number 1629065628
LBN Legal business name Moore, John Gammon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated May 17th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629065628 NPPES
Georgia MEDICAID 00030677E
Georgia MEDICAID 00030677G
Georgia MEDICAID 00030677D

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