Individual
ELIZABETH MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6326 PEAKE RD, MACON, GA 31210-3960
(478) 254-6608
Mailing address
1302 DUNCAN AVE, PERRY, GA 31069-3714
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN278860
GA
Other
Enumeration date
07/27/2022
Last updated
10/14/2025
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