Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Moore Surgical Assistant, LLC

Organization Surgical Assistant · NPI 1679017750

Moore Surgical Assistant, LLC is a Surgical Assistant in Kingston, Georgia. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

80 Moore Rd
Kingston, GA 30145-2619
Phone: (770) 842-1857
Fax: (770) 606-0600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X

Record details

NPI number1679017750
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vicki Moore — Preisdent · (770) 842-1857
NPI enumeratedDecember 8, 2016
Last updated in NPPESDecember 8, 2016
Mailing address80 Moore Rd, Kingston, GA 30145-2619