Individual
DESIREE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
807 BEDFORD PARK, PEACHTREE CITY, GA 30269-2861
(770) 596-5359
Mailing address
807 BEDFORD PARK, PEACHTREE CITY, GA 30269-2861
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-138911
AL
163W00000X
Registered Nurse
RN234677
GA
Other
Enumeration date
11/15/2014
Last updated
11/15/2014
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