Individual
KAITLYNN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
116 MIMOSA DR, THOMASVILLE, GA 31792-6605
(229) 551-0083
(229) 584-7174
Mailing address
116 MIMOSA DR, THOMASVILLE, GA 31792-6605
(229) 551-0083
(229) 584-7174
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
GAA-NP004374
GA
Other
Enumeration date
01/08/2026
Last updated
01/08/2026
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