Individual
MRS. UGO MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
388 BULLSBORO DR # 310, NEWNAN, GA 30263-1069
(334) 540-4728
Mailing address
388 BULLSBORO DR # 310, NEWNAN, GA 30263-1069
(334) 540-4728
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/12/2021
Last updated
11/12/2021
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