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

Austin Moore, ATC

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1073077756

Austin Moore, ATC is a Student in an Organized Health Care Education/Training Program in Suwanee, Georgia. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

805 Nichols Rd
Suwanee, GA 30024-1603
Phone: (505) 486-1913
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1073077756
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedJanuary 26, 2019
Last updated in NPPESJune 23, 2021
Certification dateJune 23, 2021
Mailing address5010 W Broad St, Sugar Hill, GA 30518-5200

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