Individual
MRS. LAURIE DENISE T MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
(404) 327-4972
Mailing address
9375 COLEHERNE CT, ALPHARETTA, GA 30022-7151
(770) 368-2445
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN144115 NP
GA
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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