# JAY MOORE FITNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700579836
- **Authorized official:** JAMELIA NAOMI MOORE (PRESIDENT)
- **Authorized official phone:** (706) 842-8481

## Contact information

- **Practice address:** 3105 SPRING GROVE DR STE F3, AUGUSTA, GA 30906-4381
- **Practice address phone:** (706) 842-8481
- **Mailing address:** 3105 SPRING GROVE DR STE F3, AUGUSTA, GA 30906-4381

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171400000X | Health & Wellness Coach | — | NULL | Yes |
| 171400000X | Health & Wellness Coach | — | — | Yes |

## Other

- **Enumeration date:** 06/02/2023
- **Last updated:** 06/02/2023