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Individual

CYNTHIA MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AGNP-BC

Contact information

Practice address
210 COLLINS INDUSTRIAL WAY, LAWRENCEVILLE, GA 30043-5450
(678) 442-0777
Mailing address
210 COLLINS INDUSTRIAL WAY, LAWRENCEVILLE, GA 30043-5450
(678) 442-0777

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
063436
GA
363LG0600X
Gerontology Nurse Practitioner
063436
GA
363LP2300X
Primary Care Nurse Practitioner
063436
GA

Other

Enumeration date
09/12/2022
Last updated
09/24/2024
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