Individual
SHIREEN QURESHI MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
363 N BELAIR RD, EVANS, GA 30809-3096
(706) 650-7563
(706) 650-9540
Mailing address
PO BOX 2510, EVANS, GA 30809-2510
(706) 922-8251
(706) 922-8251
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
068456
GA
207Q00000X
Family Medicine Physician
Primary
68456
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68456
LICENSE
GA
Enumeration date
06/08/2009
Last updated
04/20/2026
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