DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TANNER MATTSON MOORE, MD

Active

DR. TANNER MATTSON MOORE, MD is a Family Medicine healthcare provider located in FORT BENNING, Georgia. NPI 1467972935 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · FORT BENNING, GA

Registration Details

NPI Number
1467972935
Provider Type
Individual
Gender
Male
NPI Issued
Jun 26, 2017 (9.139417312624 yrs)
Last Updated
Jun 15, 2023
License
2021-00210 (NC)

Practice Information

Address
6600 VAN AALST BLVD BLDG 9250
FORT BENNING, GA, 319052102
Browse GA providers · Browse ZIP 31905
Phone
3046723225
Fax
3046723225
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in FORT BENNING, GA

Name Credential NPI
DR. JOHN J BYERS D.O. 1154320794
DR. JOSHUA SCOTT WILL D.O. 1083633598
DR. TIFFANY T BYRD M.D. 1043316052
DR. CLARK HOWELL COBB III M.D. 1730287426
DR. MARIO CAYCEDO MD 1821198615
DR. STEVEN ELIOT REISSMAN D.O. 1003916669
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.