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Stephanie Moore, LMP
Specialist in Kennesaw, Georgia
NPI 1548481682

Stephanie Moore is a Specialist based in Marietta, GA. Stephanie Moore practices in Kennesaw, GA and has the professional credentials of LMP. The NPI Number for Stephanie Moore is 1548481682 and holds a License No. 010605 (Georgia).

The current practice location address for Stephanie Moore is 5150 Stilesboro Rd Nw Ste 430, Kennesaw, GA and can be reached out via phone at 470-746-4690.

Location: 5150 Stilesboro Rd Nw Ste 430, Kennesaw, GA, 30062-9205
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548481682
Provider Name
Stephanie Moore
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
5150 Stilesboro Rd Nw Ste 430, Kennesaw, GA, 30062-9205
Phone Number
470-746-4690
Fax Number
Provider Enumeration Date
05/02/2007
Last Update Date
11/16/2024
institution
Provider Business Practice Location Address Details
Address
5150 Stilesboro Rd Nw Ste 430
City
Kennesaw
State
Georgia
Zip
30152-7759
Phone Number
470-746-4690
Fax Number
person
Provider Business Mailing Address Details
Address
5150 Stilesboro Rd Nw Ste 430
City
Kennesaw
State
Georgia
Zip
30152-7759
Phone Number
470-746-4690
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
010605 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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