Individual
LATTISHA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 MORRIS RD LOT 69, COLUMBUS, GA 31906-4254
(904) 945-4531
Mailing address
800 MORRIS RD LOT 69, COLUMBUS, GA 31906-4254
(904) 945-4531
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/19/2025
Last updated
09/19/2025
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