Individual
MRS. ANGELA B MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2543 LAUREL VIEW CT, SNELLVILLE, GA 30078-6805
(678) 468-8533
(678) 344-1560
Mailing address
2543 LAUREL VIEW CT, SNELLVILLE, GA 30078-6805
(678) 468-8533
(678) 344-1560
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00904747B
—
GA
Enumeration date
01/12/2007
Last updated
07/08/2007
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