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Individual

JACINTA L MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
368 MCKENZIE DR, STOCKBRIDGE, GA 30281-6702
(910) 723-2381
(910) 723-2381
Mailing address
368 MCKENZIE DR, STOCKBRIDGE, GA 30281-6702
(910) 723-2381

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN334179
GA

Other

Enumeration date
04/16/2025
Last updated
04/17/2025
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