Individual
MS. CRYSTAL WADE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
448 W BELMONT DR, CALHOUN, GA 30701-3016
(762) 204-6444
Mailing address
448 W BELMONT DR, CALHOUN, GA 30701-3016
(762) 204-6444
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
222790
GA
Other
Enumeration date
04/07/2020
Last updated
03/15/2024
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