Individual
DEDE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2547 CENTRAL CHURCH RD, MIDLAND, GA 31820-4589
(706) 478-3927
Mailing address
2547 CENTRAL CHURCH RD, MIDLAND, GA 31820-4589
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
126409
GA
Other
Enumeration date
10/25/2007
Last updated
10/25/2007
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