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Dede Moore
Acute Care Nurse Practitioner in Midland, Georgia
NPI 1255510335

Dede Moore is an Acute Care Nurse Practitioner based in Midland, GA and is specialized in Acute Care. Dede Moore practices in Midland, GA. The NPI Number for Dede Moore is 1255510335 and holds a License No. 126409 (Georgia).

The current practice location address for Dede Moore is 2547 Central Church Rd, Midland, GA and can be reached out via phone at 706-478-3927.

Location: 2547 Central Church Rd, Midland, GA, 31820-4589
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255510335
Provider Name
Dede Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
2547 Central Church Rd, Midland, GA, 31820-4589
Phone Number
706-478-3927
Fax Number
Provider Enumeration Date
10/25/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2547 Central Church Rd
City
Midland
State
Georgia
Zip
31820-4589
Phone Number
706-478-3927
Fax Number
person
Provider Business Mailing Address Details
Address
2547 Central Church Rd
City
Midland
State
Georgia
Zip
31820-4589
Phone Number
706-478-3927
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
126409 (Georgia)
Definition
Definition to come...
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