MEDICARE: KARLEE MOORE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	13874	GA

General Provider Information

NPI Number	:	1891527909
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARLEE MOORE

Provider Business Mailing Address
First Line	:	1462 CLIFTON RD NE STE 280
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30322-1063
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1968 PEACHTREE RD NW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30309-1281
Country	:	US
Telephone Number	:	404-367-3014
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2024
Last Update Date	:	05/13/2026

Similar Medicare Providers

1336525641 — JAMES TORELL
Practice Location Address:

1968 PEACHTREE RD NW
ATLANTA, GA
30309-1281

Practice Phone: 404-367-3014
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1932437142 — SHANNON RENEE SEGRES YORKMAN
Practice Location Address:

1968 PEACHTREE RD NW
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30309-1281

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1396749164 — JEANETTE DOROTHY CHENG MD
Practice Location Address:

1968 PEACHTREE RD NW , DEPARTMENT OF PATHOLOGY, 4TH FLOOR
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1033113691 — DR. RAYMOND A RUBIN M.D.
Practice Location Address:

1968 PEACHTREE RD NW , 77 BUILDING, 5TH FLOOR
ATLANTA, GA
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1386649937 — DWIGHT A KINGRY CRNA
Practice Location Address:

1968 PEACHTREE RD. NW
ATLANTA, GA
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1366449498 — JAMES F BEATTY MD
Practice Location Address:

1968 PEACHTREE ROAD NW , B336
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Directions to “ KARLEE MOORE ” Practice Location

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