person
Shelathum Moore
Driver in Fairburn, Georgia
NPI 1215647573

Shelathum Moore is a Driver based in Peachtree City, GA. Shelathum Moore practices in Fairburn, GA. The NPI Number for Shelathum Moore is 1215647573 and holds a License No. 050219016 (Georgia).

The current practice location address for Shelathum Moore is 670 Birkdale Dr, Fairburn, GA and can be reached out via phone at 678-929-1123. You can also correspond with Shelathum Moore through the mailing address at 225 MARKET PLACE CONNECTOR # 1144, PEACHTREE CITY, GA - 30269-3542 (mailing address contact number: 678-929-1123).

Location: 670 Birkdale Dr, Fairburn, GA, 30269-3542
person
Provider Profile Details
NPI Number
1215647573
Provider Name
Shelathum Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
670 Birkdale Dr, Fairburn, GA, 30269-3542
Phone Number
678-929-1123
Fax Number
Provider Enumeration Date
11/28/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
670 Birkdale Dr
City
State
Zip
30213-2924
Phone Number
678-929-1123
Fax Number
person
Provider Business Mailing Address Details
Address
670 Birkdale Dr
City
State
Zip
30213-2924
Phone Number
678-929-1123
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
050219016 (Georgia)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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