Individual
SANDY TOWNSEND MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1280 ATHENS ST, GAINESVILLE, GA 30507-7000
(770) 535-5886
(770) 535-5958
Mailing address
1280 ATHENS ST, GAINESVILLE, GA 30507-7000
(770) 535-5886
(770) 535-5958
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN037823
GA
Other
Enumeration date
02/08/2008
Last updated
02/08/2008
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