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1457441453
TIMOTHY P MOORE
MARIETTA, GA
NPI
1457441453
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: GA 1587)
Enumeration Date
2006-10-13
Last Update Date
2007-07-08
Business Address
DR. TIMOTHY P MOORE OD
210 COBB PKWY S
MARIETTA, GA 30060-6509
Phone number: 770-429-9284
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Mailing Address
DR. TIMOTHY P MOORE OD
2658 CAYLOR CIR NW
KENNESAW, GA 30152-2599
Phone number: 770-218-3710
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