Individual
RAINEY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1441 BOXWOOD BLVD, COLUMBUS, GA 31906-2700
(706) 561-5535
Mailing address
3612 LAKESIDE DR, COLUMBUS, GA 31903-2024
(726) 258-0364
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
060899205
GA
Other
Enumeration date
08/07/2025
Last updated
08/07/2025
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