Jonathan Moore

Case Manager/Care Coordinator · Lithonia, GA

Individual Active NPI

NPI number 1407122401

Practice location

8075 Mall Pkwy
Ste. 101-334
Lithonia, GA 30038-6993
Phone
(678) 508-1935
Fax
(770) 323-1935

Open in Google Maps

NPI record

NPI
1407122401
Entity type
Individual (Type 1)
Enumeration date
March 24, 2012
Last updated
March 24, 2012
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — GA

Mailing address

2542 Young Rd
Stone Mountain, GA 30088-4204
Phone
(678) 508-1935
Fax
(770) 323-1935

About Jonathan Moore

Jonathan Moore is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 8075 Mall Pkwy, Ste. 101-334, Lithonia, GA 30038-6993. The NPI number 1407122401 was assigned on March 24, 2012 and the record was last updated on March 24, 2012.

Frequently asked questions

What is the NPI number of Jonathan Moore?

The NPI number is 1407122401.

What is the phone number of Jonathan Moore?

The phone number listed for the practice location is (678) 508-1935.

Where is Jonathan Moore located?

8075 Mall Pkwy, Ste. 101-334, Lithonia, GA 30038-6993.

What is the taxonomy code for Jonathan Moore?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Case Manager/Care Coordinator providers in Lithonia

All Case Manager/Care Coordinator providers in Lithonia, GA →