Individual
ANGELA DAVIS-MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SSP I
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 628-4740
Mailing address
677 LEE ROAD 237, SMITHS, AL 36877-2408
(334) 298-1653
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/27/2007
Last updated
09/27/2007
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