Individual
MRS. ERICA LATRICE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 616-1000
Mailing address
437 WATERBURY WAY, DOUGLASVILLE, GA 30134-6079
(678) 481-5334
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024196055
VA
367500000X
Certified Registered Nurse Anesthetist
190546
GA
Other
Enumeration date
01/22/2015
Last updated
03/13/2026
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