Individual
AMBER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
11766 US-27, UNIT 1, SUMMERVILLE, GA 30747
(706) 857-3915
Mailing address
6861 GORE SUBLIGNA RD, SUMMERVILLE, GA 30747-6694
(706) 512-6486
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN159657
GA
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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