Individual
MR. AHKEEM SHAQUILLE MOORE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
1403 NEW HORIZON, POWDER SPRINGS, GA 30127-1668
(404) 625-4469
Mailing address
1403 NEW HORIZON, POWDER SPRINGS, GA 30127-1668
(404) 625-4469
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0014246658
GA
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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