Individual
MICHAELA MARIE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 HAYSTACK LN LOT G2, DUBLIN, GA 31021-0066
(478) 278-7589
Mailing address
100 HAYSTACK LN LOT G2, DUBLIN, GA 31021-0066
(478) 278-7589
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN296510
GA
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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