Individual
KAYDE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 GLYNCO PKWY STE 35, BRUNSWICK, GA 31525-7930
(912) 304-7013
(912) 342-1025
Mailing address
PO BOX 749495, ATLANTA, GA 30374-9495
(239) 432-8331
(813) 321-1296
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7468
GA
Other
Enumeration date
01/20/2015
Last updated
12/29/2022
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