Individual
CHARLES MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
363 WESLEY CHAPEL RD, DANIELSVILLE, GA 30633-3538
(770) 906-0088
Mailing address
363 WESLEY CHAPEL RD, DANIELSVILLE, GA 30633-3538
(770) 906-0088
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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