Individual
VERONICA WAITES-MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6220
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
RN0205766
CO
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN0205766
CO
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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