Individual
CARITA Q. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
340 GIBSON RD, MACON, GA 31220-4300
(478) 363-5963
Mailing address
340 GIBSON RD, MACON, GA 31220-4300
(478) 363-5963
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
235161
GA
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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