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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.

Location: 670 Birkdale Dr, Fairburn, GA, 30269-3542
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Fairburn
State
Georgia
Zip
30213-2924
Phone Number
678-929-1123
Fax Number
person
Provider Business Mailing Address Details
Address
670 Birkdale Dr
City
Fairburn
State
Georgia
Zip
30213-2924
Phone Number
678-929-1123
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
050219016 (Georgia)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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