Individual
JEREMY SCOTT MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPHA
Contact information
Practice address
1808 ECHO LN, GASTONIA, NC 28052-7604
(704) 747-3787
Mailing address
1808 ECHO LN, GASTONIA, NC 28052-7604
(704) 747-3787
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/17/2012
Last updated
11/08/2022
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