Individual
VICKIE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1639 BREEDS HILL LOOP, COLUMBUS, GA 31907-7430
(706) 284-2075
Mailing address
1639 BREEDS HILL LOOP, COLUMBUS, GA 31907-7430
(706) 284-2075
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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