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Contact Information

DEMETRIUS MOORE, ND
612 W CROSSVILLE RD STE 200
ROSWELL, GA30075-2539
 Phone: 470-749-6107
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Naturopath

175F00000X
 

Athletic Trainer

2255A2300X
 

Health & Wellness Coach

171400000X
 

Health Educator

174H00000X
 

Homeopath

175L00000X
 

Nutritionist

133N00000X
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for DEMETRIUS MOORE · (Male)

NPI Number 1922810498
Status Active
Credentials ND
Entity Individual
Enumeration date 01/22/2025
Last updated 01/29/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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