Individual
EYONA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
195 CHINABERRY LN, MOULTRIE, GA 31788-2193
(229) 507-7163
Mailing address
195 CHINABERRY LN, MOULTRIE, GA 31788-2193
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
02/09/2026
Last updated
02/09/2026
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