Individual
MRS. JUDITH GOTHARD MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1413 INDIAN WOODS DR, GREENSBORO, GA 30642-2007
(706) 347-0655
(706) 453-0019
Mailing address
1413 INDIAN WOODS DR, GREENSBORO, GA 30642-2007
(706) 347-0655
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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