Individual
DANA WILLIAMS MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 POTTERY FACTORY DR, COMMERCE, GA 30529-6682
(706) 336-0074
Mailing address
415 POTTERY FACTORY DR, COMMERCE, GA 30529-6682
(706) 336-0074
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN247854
GA
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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