Most Relevant Information
Provider Data
| NPI Number: | 1003569757 |
| Provider Name: | MEGAN MOORE |
| Entity Type: | Individual |
| Taxonomy Code: | 225XP0200X |
| Specialty: | Occupational Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/02/2022 |
| Last Updated: | 08/10/2022 |
Provider Practice Location
78 DAWSON VILLAGE WAY N STE 230
DAWSONVILLE
GA
305345642
Practice Location Phone/Fax
| Phone: | 7062653575 |
| Fax: |
Provider Mailing Location
6397 LEE HWY STE 300
CHATTANOOGA
TN
374214915
Provider Mailing Phone/Fax
| Phone: | 4232383473 |
| Fax: |