Individual
STEPHANIE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4867 ASHFORD DUNWOODY RD APT 6205, ATLANTA, GA 30338-4887
(904) 334-1818
Mailing address
4867 ASHFORD DUNWOODY RD APT 6205, ATLANTA, GA 30338-4887
(904) 334-1818
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN224349
GA
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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