Individual
JEIDA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
6969 GALLANT CIR SE, MABLETON, GA 30126-4683
(229) 443-5190
Mailing address
6969 GALLANT CIR SE, MABLETON, GA 30126-4683
(229) 443-5190
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CN0030099094
GA
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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