Individual
JOEL TUMALIUAN MOATS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 S MADISON ST, THOMASVILLE, GA 31792-5473
(229) 236-0831
Mailing address
608 N KEVIN CT, STATESBORO, GA 30461-2743
(912) 690-0830
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN-NP204844
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN204844
GEORGIA BOARD OF NURSING
GA
Enumeration date
06/24/2022
Last updated
12/12/2025
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