Search › Georgia › 363LF0000X
Martha Moore
NPI 1144739533 · on the registry since 2017
Practice
- Address
- 2799 Lawrenceville Hwy Ste 107
Decatur, GA 30033 - Phone
- (678) 739-1879
- Organisation at this address
- Physio
The Iv Spot, Llc.
Advanced Vision P.C.
Scott Psychotherapy Llc
Kathleen M. Raviele, Md PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Additional practice sites
- 3480 Preston Ridge Rd Ste 425, Alpharetta, GA
- Piedmont Henry Hospital, Stockbridge, GA
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 163W00000X
163W00000X
163W00000X
163WP0808X - Licence states on file
- DC, GA, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-02-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia