OrganizationActive
Charles B Moomey Jr MD
NPI 1902003841 · Vascular Surgery Physician · Lawrenceville, GA
Provider details
- NPI number
- 1902003841
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Charles Moomey, Owner(770) 962-9977
- License
- 049923 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
631 Professional Drive
Suite 300
Lawrenceville, GA 30046-3371
Phone: (770) 962-9977
Fax: (770) 339-9804
Approximate (ZIP-level) locationGet directions
Mailing address
631 Professional Drive
Lawrenceville, GA 30046-3371
Registry dates
- Enumerated
- 2007-07-02
- Last updated
- 2010-09-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.