Individual
EDMETRIS MOORE-DONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1090 SHOALS CT, MADISON, GA 30650-3475
(706) 318-1735
Mailing address
1090 SHOALS CT, MADISON, GA 30650-3475
(706) 318-1735
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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