Individual
MRS. CAROLYN MEREDITH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1400 NORTHSIDE FORSYTH DR STE 170, CUMMING, GA 30041-7668
(770) 292-4806
(770) 292-4808
Mailing address
1200 NORTHSIDE FORSYTH DR, CUMMING, GA 30041-7659
(770) 292-4806
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN170740
GA
Other
Enumeration date
04/27/2009
Last updated
03/07/2023
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