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Individual

EDWARD L. MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
C.R.N.A.

Contact information

Practice address
1826 VETERANS BLVD, DUBLIN, GA 31021-3631
(478) 272-1210
Mailing address
PO BOX 1031, DUBLIN, GA 31040-1031

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN057653
GA

Other

Enumeration date
03/26/2007
Last updated
11/05/2025
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