# MR. JEROME MOORE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1841605797
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 146N00000X | Basic Emergency Medical Technician | E029658 | GA | Yes |
| 261QA0600X | Adult Day Care Clinic/Center | — | NULL | — |
| 376K00000X | Nurse's Aide | CN0030028021 | GA | — |

## Other

- **Enumeration date:** 06/29/2014
- **Last updated:** 02/20/2020