Most Relevant Information
Provider Data
| NPI Number: | 1003352238 |
| Provider Name: | ANDREA PEYTON MOE PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/11/2017 |
| Last Updated: | 01/11/2017 |
Provider Practice Location
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE
GA
300467694
Practice Location Phone/Fax
| Phone: | 6783124357 |
| Fax: |
Provider Mailing Location
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE
GA
300467694
Provider Mailing Phone/Fax
| Phone: | 6783124357 |
| Fax: |